Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 13239 | TN |
Y | 207RI0011X | Interventional Cardiology | 13239 | TN |
NPI | 1083601629 |
---|---|
Provider Name | Dr. Harry L Bishop |
First Address | Knoxville, TN 37934-1922 |
Second Address | Knoxville, TN 37934-1922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 21/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B04235 | (02) | TN |
Q018870 | (05) | TN |