Healthcare Provider Details

I. General information

NPI: 1093978751
Provider Name (Legal Business Name): RASHMI UJANEPPA HOTTIGOUDAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7557B DANNAHER DR STE 225
POWELL TN
37849-3568
US

IV. Provider business mailing address

7557B DANNAHER DR STE 225
POWELL TN
37849-3568
US

V. Phone/Fax

Practice location:
  • Phone: 865-647-5800
  • Fax: 865-647-5979
Mailing address:
  • Phone: 865-647-5800
  • Fax: 865-647-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number50444
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: