Organization
THE INFUSION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIREN B PATEL MD (OWNER)
(423) 915-1126
Entity
Organization
Contact information
Practice address
1936 BROOKSIDE DR, SUITE D, KINGSPORT, TN 37660-4654
(423) 943-4790
(888) 505-3632
Mailing address
PO BOX 4015, JOHNSON CITY, TN 37602-4015
(423) 915-1126
(423) 915-0635
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
37711
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3886961
—
TN
Enumeration date
10/04/2010
Last updated
01/17/2011
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