Healthcare Provider Details

I. General information

NPI: 1225419823
Provider Name (Legal Business Name): DANIEL ALEJANDRO IGNACIO GALVEZ LIMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY STE 220
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

1924 ALCOA HWY STE 220
KNOXVILLE TN
37920-1511
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8040
  • Fax:
Mailing address:
  • Phone: 865-305-8040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number8779
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036.151178
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0000065625
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number0000065625
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: