| Organization Name: | MOHAMMAD BHIDYA MD PC |
| NPI Number: | 1659497394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMMAD PARVEZ BHIDYA (PRESIDENT SECRETARY MOHAMMAD BHIDYA) |
| Mailing Address: | 2595 Maynardville Hwy Maynardville |
| State: | TN US |
| Postal Code: | 37807 |
| Phone Number: | 8659923000 |
| Fax Number: | 8659927787 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000008234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |