Healthcare Provider Details

I. General information

NPI: 1609250562
Provider Name (Legal Business Name): PRASHANT J JAMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2015
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1928 ALCOA HWY STE 303
KNOXVILLE TN
37920-1505
US

IV. Provider business mailing address

PO BOX 415000-MSC8158
NASHVILLE TN
37241-8158
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8761
  • Fax: 865-305-8761
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number66304
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: