Provider Demographics
NPI:1558328906
Name:DHAND, UPINDER K (MD)
Entity Type:Individual
Prefix:
First Name:UPINDER
Middle Name:K
Last Name:DHAND
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 1:10810 PARKSIDE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1980
Mailing Address - Country:US
Mailing Address - Phone:865-647-3550
Mailing Address - Fax:865-647-3559
Practice Address - Street 1:10810 PARKSIDE DR STE 108
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1980
Practice Address - Country:US
Practice Address - Phone:865-647-3550
Practice Address - Fax:865-647-3559
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020004892084N0400X
TNMD482372084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1527497Medicaid
TN1527497Medicaid
TN103I139910Medicare PIN
TN103I139583Medicare PIN