Botros, Maikel Elia

Botros, Maikel Elia is an individual health care provider with primary practice located at 907 E Lamar Alexander Pkwy , Maryville TN 37804-5015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Botros, Maikel Elia can be contacted via phone (865) 977-5534.

Contact Information

Primary practice address
907 E Lamar Alexander Pkwy Maryville TN 37804-5015
Fax: (865) 981-2154
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 56507 Tennessee

Profile Details

NPI number 1164712394
LBN Legal business name Botros, Maikel Elia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2011
Last updated Jun 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164712394 NPPES
Tennessee MEDICAID Q031884

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