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General NPI Number Information
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NPI Number | 1346251287
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Entity Type | Individual
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Provider Name | RYAN S GROVER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 421 SOUTH MAIN STREET
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City | CROSSVILLE
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State | TN
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Zip | 38555-5048
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Country | US
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Telephone | 931-456-8390
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Fax | 931-456-8389
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Provider Business Mailing Address
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Address Line | PO BOX 24120
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City | KNOXVILLE
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State | TN
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Zip | 37933-2120
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Country | US
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Telephone | 865-803-4321
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | A81474
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 64645
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License Number State | TN
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