Sugantharaj, Andrew

Sugantharaj, Andrew is an individual health care provider with primary practice located at 1612 Downtown West Blvd , Knoxville TN 37919-5408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sugantharaj, Andrew can be contacted via phone (865) 357-8861.

Contact Information

Primary practice address
1612 Downtown West Blvd Knoxville TN 37919-5408
Phone: (865) 357-8861
Fax: (865) 357-8866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25789 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 025789 Tennessee

Profile Details

NPI number 1386622033
LBN Legal business name Sugantharaj, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated May 13th, 2014 - about 10 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 1386622033 NPPES
Tennessee Other 4064152 BCBS
Tennessee Other 5922709 BCBS
Tennessee MEDICAID 3095110 BCBS
Tennessee Other P00078150 BCBS

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