Provider Demographics
NPI:1770149189
Name:AHSANUDDIN, ARSHAD NAVEED (MD)
Entity type:Individual
Prefix:DR
First Name:ARSHAD
Middle Name:NAVEED
Last Name:AHSANUDDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 JAPONICA WAY APT 1102
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-3069
Mailing Address - Country:US
Mailing Address - Phone:865-271-8871
Mailing Address - Fax:
Practice Address - Street 1:9737 COGDILL RD RM 216
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3322
Practice Address - Country:US
Practice Address - Phone:865-338-5739
Practice Address - Fax:865-338-5739
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLS-07-235207ZP0007X
FL05-074207ZP0102X
FLS-06-196207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology