Healthcare Provider Details

I. General information

NPI: 1689877078
Provider Name (Legal Business Name): ANINDYA KUMAR SEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CORPORATE DR STE 120
JOHNSON CITY TN
37604-2008
US

IV. Provider business mailing address

110 CORPORATE DR STE 120
JOHNSON CITY TN
37604-2008
US

V. Phone/Fax

Practice location:
  • Phone: 423-787-7080
  • Fax: 423-787-0835
Mailing address:
  • Phone: 423-787-7080
  • Fax: 423-787-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA POSEY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 423-787-7080