Individual
MANOJ M TENDOLKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 GOSSAMER WAY, KNOXVILLE, TN 37923-4133
(865) 679-5939
Mailing address
113 GOSSAMER WAY, KNOXVILLE, TN 37923-4133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1320
TN
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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