Healthcare Provider Details

I. General information

NPI: 1326677006
Provider Name (Legal Business Name): MIHIR SUDHIR PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7565 DANNAHER DR
POWELL TN
37849-4029
US

IV. Provider business mailing address

7557 DANNAHER DR STE 220A
POWELL TN
37849-3563
US

V. Phone/Fax

Practice location:
  • Phone: 865-859-8000
  • Fax:
Mailing address:
  • Phone: 865-859-7330
  • Fax: 833-859-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD77435
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: