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NPI Code Detail

MEDICARE: CLEVELAND FAMILY PHYSICIANS

MEDICARE: CLEVELAND FAMILY PHYSICIANS
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
1207R00000XInternal Medicine PhysicianMD0000021187TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12006954OTHERTNBCBS

General Provider Information

NPI Number : 1356533475
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND FAMILY PHYSICIANS
Provider Business Mailing Address
First Line : 2825 WESTSIDE DR NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3504
Country : US
Telephone Number : 423-472-2155
Fax Number : 423-472-1913
Provider Business Practice Location Address
First Line : 1521 25TH STREET NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312
Country : US
Telephone Number : 423-472-2155
Fax Number : 423-402-8605
Authorized Official
Title or Position : INTERNIST
Name : DR. SAMIR RAHBE
Credential : MD
Telephone Number : 423-472-2155
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/15/2025

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Directions to “CLEVELAND FAMILY PHYSICIANS ” Practice Location

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