Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 39013 | TN |
N | 207QA0401X | Family Doctor - Addiction Medicine | 4301109047 | MI |
NPI | 1093758187 |
---|---|
Provider Name | Dr. Ashish Vijay Patel |
First Address | Knoxville, TN 37922-1909 |
Second Address | Alcoa, TN 37701-3192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 07/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009936662 | (05) | AL |
3339540 | (05) | TN |
3339549 | (05) | TN |
4114001 | BCBS OF TENNESSEE (01) | TN |
4150093 | BLUE CROSS (01) | TN |
591941960A | (05) | GA |
I19022 | (02) | TN |
P00297356 | RAILROAD MEDICARE (01) | TN |