Organization
FAMILY MEDICINE WEST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISHA S THAKUR M.D. (OWNER)
(865) 288-4232
Entity
Organization
Contact information
Practice address
220 FORT SANDERS WEST BLVD, BLDG 2, SUITE 200, KNOXVILLE, TN 37922
(865) 288-4232
(865) 288-4231
Mailing address
220 FORT SANDERS WEST BLVD, BLDG 2, SUITE 200, KNOXVILLE, TN 37922
(865) 288-4232
(865) 288-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD30337
TN
Other
Enumeration date
08/28/2012
Last updated
09/17/2012
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