Healthcare Provider Details

I. General information

NPI: 1275248726
Provider Name (Legal Business Name): AMBAR RIFFI TEMSAMANI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBAR TEMSAMANI PA-C

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 ALCOA HWY
KNOXVILLE TN
37920-1545
US

IV. Provider business mailing address

1926 ALCOA HWY
KNOXVILLE TN
37920-1545
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9218
  • Fax:
Mailing address:
  • Phone: 865-305-9218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number11533
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: