Manisha And Sanjay Thakur, Md, Pc | |
220 Fort Sanders West Blvd Bldg 2 Suite 200 Knoxville TN 37922-3398 | |
(865) 288-4232 | |
Not Available |
Full Name | Manisha And Sanjay Thakur, Md, Pc |
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Speciality | Family Medicine |
Location | 220 Fort Sanders West Blvd, Knoxville, Tennessee |
Authorized Official Name and Position | Manisha S Thakur (OWNER) |
Authorized Official Contact | 8652884232 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Manisha And Sanjay Thakur, Md, Pc 220 Fort Sanders West Blvd Bldg 2 Suite 200 Knoxville TN 37922-3398 Ph: (865) 288-4232 | Manisha And Sanjay Thakur, Md, Pc 220 Fort Sanders West Blvd Bldg 2 Suite 200 Knoxville TN 37922-3398 Ph: (865) 288-4232 |
NPI Number | 1851647036 |
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Provider Enumeration Date | 07/25/2012 |
Last Update Date | 07/25/2012 |
Medicare PECOS PAC ID | 2860649415 |
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Medicare Enrollment ID | O20120904000534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851647036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD0000030337 (Tennessee) | Primary |
Provider Name | Manisha S Thakur |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639152275 PECOS PAC ID: 7214841014 Enrollment ID: I20031117000256 |
Provider Name | Jennifer R Green |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821261884 PECOS PAC ID: 4284704156 Enrollment ID: I20080604000097 |
Provider Name | Robert M Dowell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487818712 PECOS PAC ID: 9537234570 Enrollment ID: I20080826000471 |
Provider Name | Marcia Jacobs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841446556 PECOS PAC ID: 4880744903 Enrollment ID: I20090611000439 |
Provider Name | Sanjay P Thakur |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699816074 PECOS PAC ID: 6709960776 Enrollment ID: I20100924000079 |
Provider Name | Addie L Freytag |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013052463 PECOS PAC ID: 4183817885 Enrollment ID: I20101026000248 |
Provider Name | Amanda B Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235484668 PECOS PAC ID: 8921257510 Enrollment ID: I20120925000318 |
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