EAST TENN NEUROLOGY CL PC – NPI #1932308293
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

EAST TENN NEUROLOGY CL PC is a psychiatry & neurologist located in KNOXVILLE, TN. NPPES has assigned the NPI number 1932308293 to EAST TENN NEUROLOGY CL PC on July 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 19 years ago on Jul 19, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST TENN NEUROLOGY CL PC below.

NPI Profile for
EAST TENN NEUROLOGY CL PC

NPI Number
1932308293
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST TENN NEUROLOGY CL PC
Primary location
9430 PARKWEST BLVD
SUITE 350
KNOXVILLE, TN 37923-4203
Phone: (865) 531-9430 Fax: (865) 531-9580
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAM AL-KABBANI
PRESIDENT
Phone: (865) 531-9430
Updated
Identifiers

Identifiers for EAST TENN NEUROLOGY CL PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN3386763
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)		 TN MD17875

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.