Individual
DR. ASHISH VIJAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 CUSICK RD STE A, ALCOA, TN 37701-3192
(865) 888-6923
Mailing address
12236 PATAGONIA LN, KNOXVILLE, TN 37922-1909
(423) 943-3001
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
39013
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
4301109047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936662
—
AL
05
—
3339540
—
TN
05
—
3339549
—
TN
01
—
4114001
BCBS OF TENNESSEE
TN
01
—
4150093
BLUE CROSS
TN
05
—
591941960A
—
GA
01
—
P00297356
RAILROAD MEDICARE
TN
Enumeration date
06/14/2006
Last updated
08/07/2020
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