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NPI Code Detail

MEDICARE: TENNESSEE BREAST RADIOLOGY SPECIALISTS,PLLC

MEDICARE: TENNESSEE BREAST RADIOLOGY SPECIALISTS,PLLC
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1821931544
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE BREAST RADIOLOGY SPECIALISTS,PLLC
Provider Business Mailing Address
First Line : 2034 PINETREE LN STE 218
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-4938
Country : US
Telephone Number : 210-614-0959
Fax Number :
Provider Business Practice Location Address
First Line : 1400 DOWELL SPRINGS BLVD STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2457
Country : US
Telephone Number : 865-584-0291
Fax Number : 865-584-4425
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DR. MICHAEL J DELEO
Credential : MD
Telephone Number : 781-729-3189
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

Similar Medicare Providers

1013994441 — DR. DEBORAH ANN WINTERS MD
Practice Location Address:
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1598718041 — DR. FRANK H KNIGHT MD
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1508804782 — JEFFREY DAVID MATTHES MD
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1154344497 — DR. KAMILIA FRANCIS KOZLOWSKI M.D
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1982713053 — DR. MONICA K. CRANE MD
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1871655498 — MARIA L ANELLO D.O.
Practice Location Address:
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Practice Phone: 865-584-0291
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Directions to “TENNESSEE BREAST RADIOLOGY SPECIALISTS,PLLC ” Practice Location

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