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ALLERGIC DISEASES ASTHMA & IMMUNOLOGY CLINIC PC NPI 1205879400


NPI Information

NPI: 1205879400
Provider Name: ALLERGIC DISEASES ASTHMA & IMMUNOLOGY CLINIC PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
7417 KINGSTON PIKE STE 101
KNOXVILLE, TN
ZIP 37919
Phone: (865) 584-4112
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ALLERGIC DISEASES ASTHMA & IMMUNOLOGY CLINIC PC is an allergy allergy immunology in Knoxville, TN. ALLERGIC DISEASES ASTHMA & IMMUNOLOGY CLINIC PC NPI is 1205879400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7417 KINGSTON PIKE STE 101
KNOXVILLE, TN
ZIP 37919-616
Phone: (865) 584-4112
Fax: (865) 588-8140

The provider's authorized official is Marek M Pienkowski .
The authorized official title is President/physician and has the following contact phone number (865) 584-4112.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 11/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13719110MEDICARE PINTENNESSEE
23719119MEDICARE PINTENNESSEE
33719118MEDICARE PINTENNESSEE
43719112MEDICARE PINTENNESSEE
53719111MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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