Organization
ANINDYA KUMAR SEN
Active
Other names
East Tennessee Hematology/Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY EDGELL (ASSISTANT MANAGER)
(423) 787-7080
Entity
Organization
Contact information
Practice address
110 CORPORATE DR, SUITE 120, JOHNSON CITY, TN 37604-2008
(423) 282-0543
(423) 282-2064
Mailing address
1406 TUSCULUM BLVD, SUITE 2000, GREENEVILLE, TN 37745-4332
(423) 787-7080
(423) 787-7087
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD0000021891
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376478
—
TN
01
—
4034320
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/19/2008
Last updated
03/19/2008
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