Antiporda, Michael Alfredo

Antiporda, Michael Alfredo is an individual health care provider with primary practice located at 1819 Clinch Ave Ste 200 , Knoxville TN 37916-2435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Antiporda, Michael Alfredo can be contacted via phone (865) 524-3695.

Contact Information

Primary practice address
1819 Clinch Ave Ste 200 Knoxville TN 37916-2435
Phone: (865) 524-3695
Fax: (865) 602-3528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD61235 Tennessee

Profile Details

NPI number 1083970669
LBN Legal business name Antiporda, Michael Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2012
Last updated Jun 2nd, 2020 - about 5 years ago

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 1083970669 NPPES
Tennessee MEDICAID Q057089

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