Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 58180 | TN |
Y | 111NI0900X | Internist | 58180 | TN |
NPI | 1003202540 |
---|---|
Provider Name | Rasmi Ajit |
First Address | Knoxville, TN 37923-4312 |
Second Address | Knoxville, TN 37923-4312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2015 |
Last Update Date | 10/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q044599 | (05) | TN |