MEDICARE: DR. ANASTASIA ZOE RAIRIGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	11014429A	IN
2	207Q00000X	Family Medicine Physician	MD0000047965	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841451119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANASTASIA ZOE RAIRIGH MD

Provider Business Mailing Address
First Line	:	6809 WESTLAND DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-7434
Country	:	US
Telephone Number	:	517-331-1955
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BETHEL VALLEY RD BLDG 4500
Second Line	:
City	:	OAK RIDGE
State	:	TN
Zip	:	37830-8050
Country	:	US
Telephone Number	:	865-574-9355
Fax Number	:	865-574-9353

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	02/20/2020

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