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ANINDYA KUMAR SEN NPI 1235300179


NPI Information

NPI: 1235300179
Provider Name: ANINDYA KUMAR SEN

Doing Business As: EAST TENNESSEE HEMATOLOGY/ONCOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 44D0964457

Address:
110 CORPORATE DR
SUITE 120
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-0543
Get Directions

ANINDYA KUMAR SEN is a hematology and oncology internal medicine in Johnson City, TN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ANINDYA KUMAR SEN NPI is 1235300179. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Tennessee Hematology/oncology.

The provider's business location address is:

110 CORPORATE DR
SUITE 120
JOHNSON CITY, TN
ZIP 37604-008
Phone: (423) 282-0543
Fax: (423) 282-2064

The provider's authorized official is Larry Edgell .
The authorized official title is Assistant Manager and has the following contact phone number (423) 787-7080.

The CLIA number assigned to this NPI record is 44D0964457 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyMD0000021891TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13376478MEDICAIDTENNESSEE
23376478MEDICARE PIN
34034320OTHERTENNESSEEBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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