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ALBERT C.S. EBENEZER M.D. NPI 1659581080


NPI Information

NPI: 1659581080
Provider Name: ALBERT C.S. EBENEZER, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2001 LAUREL AVE
NEWLAND PROFESSIONAL BUILDING SUITE 601
KNOXVILLE, TN
ZIP 37916
Phone: (865) 523-0614
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ALBERT C.S. EBENEZER, M.D. is a hematology and oncology internal medicine in Knoxville, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ALBERT C.S. EBENEZER, M.D. NPI is 1659581080. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 LAUREL AVE
NEWLAND PROFESSIONAL BUILDING SUITE 601
KNOXVILLE, TN
ZIP 37916-810
Phone: (865) 523-0614
Fax: (865) 546-2625

The provider's authorized official is Albert C S Ebenezer .
The authorized official title is Owner Physician and has the following contact phone number (865) 523-0614.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.


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
1207RH0003XInternal MedicineHematology & Oncology7866TENNESSEEYes

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
17866OTHERTENNESSEEMEDICAL LICENSE

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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