Healthcare Provider Details

I. General information

NPI: 1184787277
Provider Name (Legal Business Name): CHRISTOPHER SIANO M.D. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 KINGSTON PIKE
KNOXVILLE TN
37922-2319
US

IV. Provider business mailing address

9320 KINGSTON PIKE
KNOXVILLE TN
37922-2319
US

V. Phone/Fax

Practice location:
  • Phone: 865-801-9501
  • Fax:
Mailing address:
  • Phone: 865-801-9501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberOS9790
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number2328
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS9790
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS9790
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2328
License Number StateTN
# 6
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2328
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: