Acevedo, Angel D

Acevedo, Angel D is an individual health care provider with primary practice located at 1400 Dutch Valley Drive , Knoxville TN 37918-1424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Acevedo, Angel D can be contacted via phone (865) 689-1122.

Contact Information

Primary practice address
1400 Dutch Valley Drive Knoxville TN 37918-1424
Phone: (865) 689-1122
Fax: (866) 340-3781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42395 Tennessee

Profile Details

NPI number 1174506968
LBN Legal business name Acevedo, Angel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Mar 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174506968 NPPES
Tennessee MEDICAID Q056426

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