DR. SANJIVINI VISHWAS JACOB (NPI# 1629234521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629234521 |
| Entity Type | Individual |
| Full Name | DR. SANJIVINI VISHWAS JACOB |
| Other Name | DR. SANJIVINI VISHWAS DHANAWADE |
| Credential | M. D. |
| Practice Address |
Renu Chattanooga, Pllc 5870 Tn-153 #122 Hixson TN 37343-5827 |
| Mailing Address |
800 Prudential Dr Jacksonville FL 32207-8202 |
| Practice Telephone | 4232433342 |
| Mailing Telephone | 9042021347 |
| Mailing Fax Number | 9042023232 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
ME 102241 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
ME 102241 | FL | Allopathic & Osteopathic Physicians |
| Y | 2083A0300X | 044848 | TN |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6141 Shallowford Rd, Chattanooga, TN 374211664 | 4234982000 |
| Street Address |
RENU CHATTANOOGA, PLLC 5870 TN-153 #122 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.