Provider Demographics
NPI:1437122280
Name:SAXENA, RISHI K (MD)
Entity Type:Individual
Prefix:
First Name:RISHI
Middle Name:K
Last Name:SAXENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 DOW ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2467
Mailing Address - Country:US
Mailing Address - Phone:615-896-4800
Mailing Address - Fax:615-896-4622
Practice Address - Street 1:1127 DOW ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2487
Practice Address - Country:US
Practice Address - Phone:615-896-4800
Practice Address - Fax:615-896-4622
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD25593207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3093617Medicaid
B56312Medicare UPIN
TN3093617Medicaid