East Tennessee Vascular Center, Pllc

LBN: East Tennessee Vascular Center, Pllc
East Tennessee Vascular Center, Pllc is an health care organization with primary practice located at 1125 W 1St North St Ste. B, Morristown TN 37814-4562. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. East Tennessee Vascular Center, Pllc can be contacted via phone (423) 317-6560, or through Assadnia, Shahin via phone (423) 317-6560.

Contact Information

Primary practice address
1125 W 1St North St Ste. B Morristown TN 37814-4562
Phone: (423) 317-6560
Fax: (423) 317-6570
Website:
Map and Directions
Authorized official contact:
Name: Assadnia, Shahin Doctor of Medicine (MD)
Phone: (423) 317-6560

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD35881 Tennessee

Profile Details

NPI number 1508879719
LBN Legal business name East Tennessee Vascular Center, Pllc
DBA Doing business as
Authorized official Assadnia, Shahin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508879719 NPPES
Tennessee Other 1114909538 INDIVIDUAL NPI
Tennessee MEDICAID 3723200 INDIVIDUAL NPI
Tennessee Other 1639178932 INDIVIDUAL NPI
Tennessee Other 4075540 INDIVIDUAL NPI
Tennessee Other P00122001 INDIVIDUAL NPI

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