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Individual

SAJI EAPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1415 OLD WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-1327
(865) 934-5800
(865) 934-5801
Mailing address
900 E HILL AVE, SUITE 230, KNOXVILLE, TN 37915-2566
(865) 862-0998
(865) 544-1861

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD41548
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010081416
VA
05
010081424
VA
01
2101404
UNITED HEALTHCARE
01
282529
AMERIGROUP
01
3128998
MAMSI OPT CHOICE
01
3607654
AETNA HMO
01
61960002
BCBS CAREFIRST
01
683237
NCPPO
01
7013613
AETNA PPO
Enumeration date
10/11/2005
Last updated
09/28/2016
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