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Individual

ANNE KANDERIAN KASSIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1940 ALCOA HWY STE E310, KNOXVILLE, TN 37920-2267
(865) 544-2800
(865) 544-6812
Mailing address
PO BOX 415000-MSC8179, NASHVILLE, TN 37241-8179
(865) 670-6199
(865) 670-6198

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101245765
VA
207RC0000X
Cardiovascular Disease Physician
Primary
61524
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174780951
VA
05
418019400
MD
01
P00756338
RAILROAD MEDICARE
VA
Enumeration date
05/20/2008
Last updated
05/21/2021
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