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NPI Code Detail

MEDICARE: ANNE KANDERIAN KASSIRA M.D.

MEDICARE: ANNE KANDERIAN KASSIRA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician0101245765VA
2207RC0000XCardiovascular Disease Physician61524TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00756338OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174780951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE KANDERIAN KASSIRA M.D.
Provider Business Mailing Address
First Line : PO BOX 415000-MSC8179
Second Line :
City : NASHVILLE
State : TN
Zip : 37241-8179
Country : US
Telephone Number : 865-670-6199
Fax Number : 865-670-6198
Provider Business Practice Location Address
First Line : 1940 ALCOA HWY STE E310
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-2267
Country : US
Telephone Number : 865-544-2800
Fax Number : 865-544-6812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 05/21/2021

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1699098616 — DR. DAVID ALAN PERKEL M.D.
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