Provider Demographics
NPI:1417916396
Name:ELKINS, SANDRA K (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:K
Last Name:ELKINS
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 1:1924 ALCOA HIGHWAY
Mailing Address - Street 2:THE UNIVERSITY OF TENNESSEE MEDICAL CENTER PATH DEPT
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6999
Mailing Address - Country:US
Mailing Address - Phone:865-544-9080
Mailing Address - Fax:865-544-6866
Practice Address - Street 1:1924 ALCOA HIGHWAY
Practice Address - Street 2:THE UNIVERSITY OF TENNESSEE MEDICAL CENTER PATH DEPT
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6999
Practice Address - Country:US
Practice Address - Phone:865-544-9080
Practice Address - Fax:865-544-6866
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25381207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3086528Medicaid
F91724Medicare UPIN
TN3086528Medicaid