Provider Demographics
NPI:1427031772
Name:DR. SAFWAN HAMWI, MD PC
Entity Type:Organization
Organization Name:DR. SAFWAN HAMWI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDOCRINOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SAFWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-482-9565
Mailing Address - Street 1:200 NEW YORK AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5212
Mailing Address - Country:US
Mailing Address - Phone:865-482-9565
Mailing Address - Fax:865-482-5750
Practice Address - Street 1:200 NEW YORK AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-5212
Practice Address - Country:US
Practice Address - Phone:865-482-9565
Practice Address - Fax:865-482-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28157174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3718119Medicaid
DN9747Medicare PIN
TN3718119Medicare PIN
TN460003647Medicare PIN
TNE78564Medicare UPIN
TN3718119Medicaid