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General NPI Number Information
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NPI Number | 1770149189
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Entity Type | Individual
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Provider Name | ARSHAD NAVEED AHSANUDDIN MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 9737 COGDILL RD RM 216
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City | KNOXVILLE
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State | TN
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Zip | 37932-3322
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Country | US
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Telephone | 865-338-5739
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Fax | 865-338-5739
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Provider Business Mailing Address
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Address Line | 2831 JAPONICA WAY APT 1102
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City | KNOXVILLE
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State | TN
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Zip | 37931-3069
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Country | US
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Telephone | 865-271-8871
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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 | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | S-07-235
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 05-074
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | S-06-196
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License Number State | FL
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