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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

COREY CUDZILO, MD
2240 SUTHERLAND AVE
SUITE 103
KNOXVILLE, TN37919-2333
 Phone: 865-588-8831
 Fax: 865-588-8841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COREY CUDZILO · (Male)

NPI # 1003012022
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2007
Last updated 05/14/2019 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 50968
Hospital affiliation(s)
  • FORT SANDERS REGIONAL MEDICAL CENTER - (Acute Care)
    1901 W CLINCH AVE
    KNOXVILLE, TN 37916
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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