Healthcare Provider Details
I. General information
NPI: 1942695333
Provider Name (Legal Business Name): ARIELLA BARHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/01/2015
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2018 CLINCH AVE
KNOXVILLE TN
37916-2301
US
IV. Provider business mailing address
PO BOX 15004
KNOXVILLE TN
37901-5004
US
V. Phone/Fax
- Phone: 865-541-8105
- Fax: 865-541-8713
- Phone: 865-541-8895
- Fax: 865-633-4808
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | 70405 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: