Provider Demographics
NPI:1114977964
Name:KOUSER, HINA (MD)
Entity type:Individual
Prefix:
First Name:HINA
Middle Name:
Last Name:KOUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HINA
Other - Middle Name:
Other - Last Name:SHAHEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2030 FALLING WATERS RD STE 325
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5893
Mailing Address - Country:US
Mailing Address - Phone:865-951-1300
Mailing Address - Fax:865-951-1303
Practice Address - Street 1:2030 FALLING WATERS RD STE 325
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5893
Practice Address - Country:US
Practice Address - Phone:865-951-1300
Practice Address - Fax:865-951-1303
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD30513207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3838615Medicaid
TN3838615Medicaid
G89304Medicare UPIN