Provider Demographics
NPI:1891926440
Name:UNGER, RYAN ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ALEXANDER
Last Name:UNGER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:1400 DOWELL SPRINGS BLVD
Mailing Address - Street 2:BUILDING 1400, SUITE 340
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2456
Mailing Address - Country:US
Mailing Address - Phone:865-588-1605
Mailing Address - Fax:865-588-1608
Practice Address - Street 1:1400 DOWELL SPRINGS BLVD
Practice Address - Street 2:BUILDING 1400, SUITE 340
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2456
Practice Address - Country:US
Practice Address - Phone:865-588-1605
Practice Address - Fax:865-588-1608
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT13062941-1205207Q00000X
TN49026207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I082397Medicare PIN