Provider Demographics
NPI:1235450248
Name:ANINYEI, ISIOMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ISIOMA
Middle Name:
Last Name:ANINYEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 TAKOMA AVE
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37743-4647
Mailing Address - Country:US
Mailing Address - Phone:423-278-1743
Mailing Address - Fax:423-278-1930
Practice Address - Street 1:401 TAKOMA AVE
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743-4647
Practice Address - Country:US
Practice Address - Phone:828-687-5616
Practice Address - Fax:828-650-8076
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY48457207R00000X, 208M00000X
TN0000053029207R00000X
TN53029208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP01476605OtherRAIL ROAD MEDICARE
TNP01476605OtherRAIL ROAD MEDICARE
KY0169Medicare PIN