Individual
DR. CLARISSA ANN MASHCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4884 SUNKIST TER, OOLTEWAH, TN 37363-6851
(423) 774-8281
Mailing address
4884 SUNKIST TER, OOLTEWAH, TN 37363-6851
(423) 774-8281
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
MD0000018459
TN
207VG0400X
Gynecology Physician
Primary
MD0000018459
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3032078
—
TN
01
—
4270474
BLUE CROSS BLUE SHIELD TN
—
Enumeration date
02/04/2006
Last updated
10/03/2025
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