Individual
MANDEEP S BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 278-1743
(423) 278-1930
Mailing address
1404 TUSCULUM BLVD 2200, GREENEVILLE, TN 37745-4395
(423) 798-8052
(423) 798-8055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38797
TN
207RP1001X
Pulmonary Disease Physician
Primary
MD38797
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
38797
TN
208M00000X
Hospitalist Physician
MD38797
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522612
—
TN
01
—
4330458
BCBS OF TN
TN
05
—
891087Y
—
NC
Enumeration date
12/19/2005
Last updated
04/08/2025
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