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Individual

DANA FATHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9661
(865) 305-6148
Mailing address
2240 SUTHERLAND AVE, STE 107, KNOXVILLE, TN 37919-2333
(865) 584-7376
(865) 584-8938

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000041857
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1524138
TN
05
7100165940
KY
Enumeration date
03/05/2008
Last updated
08/18/2017
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