Healthcare Provider Details
I. General information
NPI: 1598078909
Provider Name (Legal Business Name): CHE ANTONIO SOLLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/15/2010
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1924 ALCOA HWY # U109
KNOXVILLE TN
37920-1511
US
IV. Provider business mailing address
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US
V. Phone/Fax
- Phone: 865-305-9220
- Fax: 865-637-5518
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 58802 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | 58802 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 58802 |
| License Number State | TN |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 58802 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: