Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 50089 | TN |
NPI | 1689854838 |
---|---|
Provider Name | Dr. Safina Kureshi |
First Address | Knoxville, TN 37901 |
Second Address | Knoxville, TN 37916-3791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 22/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q004397 | (05) | TN |