Provider Demographics
NPI:1669992681
Name:DHANAWADE, SAGAR V (FNP-C)
Entity type:Individual
Prefix:MR
First Name:SAGAR
Middle Name:V
Last Name:DHANAWADE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 BROOKVIEW CENTRE WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4053
Mailing Address - Country:US
Mailing Address - Phone:865-293-5550
Mailing Address - Fax:865-347-5181
Practice Address - Street 1:265 BROOKVIEW CENTRE WAY STE 203
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4053
Practice Address - Country:US
Practice Address - Phone:865-293-5550
Practice Address - Fax:865-347-5181
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22731363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily