Provider Demographics
NPI:1538118872
Name:DHAND, RAJIV (MD)
Entity Type:Individual
Prefix:PROF
First Name:RAJIV
Middle Name:
Last Name:DHAND
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 1:1940 ALCOA HWY
Mailing Address - Street 2:SUITE E210
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2244
Mailing Address - Country:US
Mailing Address - Phone:865-524-7471
Mailing Address - Fax:865-305-8878
Practice Address - Street 1:1940 ALCOA HWY
Practice Address - Street 2:SUITE E210
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2244
Practice Address - Country:US
Practice Address - Phone:865-524-7471
Practice Address - Fax:865-305-8878
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001029901207RP1001X
TN48183207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4800205OtherUNITED HEALTHCARE
MO153426OtherBLUE SHIELD/BLUE CROSS
MO469776OtherHEALTHLINK
MO205695000Medicaid
MO153426OtherBLUE SHIELD/BLUE CROSS
MO290014646Medicare PIN
MOP00425437Medicare PIN
G15116Medicare UPIN
MO205695000Medicaid