MEDICARE: DR. DIANA DEE SARKAR MD DABMA

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
1	171100000X	Acupuncturist	MD012740	TN
2	208D00000X	General Practice Physician	MD012740	TN

General Provider Information

NPI Number	:	1346322658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA DEE SARKAR MD DABMA

Provider Business Mailing Address
First Line	:	PO BOX 10489
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37939
Country	:	US
Telephone Number	:	865-450-2922
Fax Number	:	865-450-2952

Provider Business Practice Location Address
First Line	:	6906 KINGSTON PIKE
Second Line	:	EXECUTIVE PALACE SUITE 200A
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-5704
Country	:	US
Telephone Number	:	865-450-2922
Fax Number	:	865-450-2952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	10/15/2007

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