Healthcare Provider Details

I. General information

NPI: 1235450248
Provider Name (Legal Business Name): ISIOMA RUTH ANINYEI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 TAKOMA AVE
GREENEVILLE TN
37743-4647
US

IV. Provider business mailing address

401 TAKOMA AVE
GREENEVILLE TN
37743-4647
US

V. Phone/Fax

Practice location:
  • Phone: 828-687-5616
  • Fax: 828-650-8076
Mailing address:
  • Phone: 423-278-1743
  • Fax: 423-278-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number53029
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number48457
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0000053029
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number48457
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: