Individual
MANISHA SHRIHARI THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 FORT SANDERS WEST BLVD, BLDG. 2 SUITE 200, KNOXVILLE, TN 37922-3398
(865) 288-4232
(865) 288-4231
Mailing address
220 FORT SANDERS WEST BLVD, BLDG. 2 SUITE 200, KNOXVILLE, TN 37922-3398
(865) 288-4232
(865) 288-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000030337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3824079
—
TN
Enumeration date
11/29/2005
Last updated
07/20/2012
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