Individual
DR. PIERRE ISTFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, SUITE 458W, BRISTOL, TN 37620
(423) 844-4800
(423) 230-6905
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
21551
TN
207RI0011X
Interventional Cardiology Physician
Primary
21551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060041210
—
TN
05
—
3061017
—
TN
05
—
5806232
—
VA
01
—
621112685
UNITED HEALTH CARE
TN
05
—
64928450
—
KY
Enumeration date
06/19/2006
Last updated
04/17/2017
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