Healthcare Provider Details

I. General information

NPI: 1235371246
Provider Name (Legal Business Name): ANTHONY LEE HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 20TH ST STE 606 FORT SANDERS PROFESSIONAL BUILDING
KNOXVILLE TN
37916-1863
US

IV. Provider business mailing address

501 20TH ST STE 606 FORT SANDERS PROFESSIONAL BUILDING
KNOXVILLE TN
37916-1863
US

V. Phone/Fax

Practice location:
  • Phone: 865-342-8900
  • Fax:
Mailing address:
  • Phone: 865-342-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number49835
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: