Provider Demographics
NPI:1912089921
Name:BAKSHI, SANAT V (MD)
Entity Type:Individual
Prefix:DR
First Name:SANAT
Middle Name:V
Last Name:BAKSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8211 THRUSH HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-5045
Mailing Address - Country:US
Mailing Address - Phone:423-855-1130
Mailing Address - Fax:
Practice Address - Street 1:150 DEBRA RD.
Practice Address - Street 2:SUITE 5200, BLDG.6200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411
Practice Address - Country:US
Practice Address - Phone:423-893-6500
Practice Address - Fax:423-893-6563
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07960207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07960OtherLICENSE