Provider Demographics
NPI:1588638019
Name:RICE, ROBERT ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALAN
Last Name:RICE
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 1:7009 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5706
Mailing Address - Country:US
Mailing Address - Phone:865-588-8143
Mailing Address - Fax:865-450-3172
Practice Address - Street 1:7009 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5706
Practice Address - Country:US
Practice Address - Phone:865-588-8143
Practice Address - Fax:865-450-3172
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN009352207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN009352OtherLICENSE
TN1505195Medicaid
TNA99809Medicare UPIN
TNTN009352OtherLICENSE
TN3034658Medicare ID - Type Unspecified