Organization
PEDIATRIC PROFESSIONALS FARRAGUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID HASNAIN M.D. (OWNER)
(865) 250-3740
Entity
Organization
Contact information
Practice address
11124 KINGSTON PIKE, SUITE 123, KNOXVILLE, TN 37934-2863
(865) 250-3740
Mailing address
11124 KINGSTON PIKE, SUITE 123, KNOXVILLE, TN 37934-2863
(865) 250-3740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30258
TN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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