Underwood, Michael D

Underwood, Michael D is an individual health care provider with primary practice located at 10810 Parkside Dr Suite 201, Knoxville TN 37934-1979. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Underwood, Michael D can be contacted via phone (865) 690-9475.

Contact Information

Primary practice address
10810 Parkside Dr Suite 201 Knoxville TN 37934-1979
Phone: (865) 690-9475
Fax: (865) 690-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD8549 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD8549 Tennessee

Profile Details

NPI number 1053376236
LBN Legal business name Underwood, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 29th, 2013 - about 11 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 1053376236 NPPES
Tennessee MEDICAID 3170607

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