Provider Demographics
NPI:1215089289
Name:HORIZON HEALTHCARE SERVICES PLLC
Entity type:Organization
Organization Name:HORIZON HEALTHCARE SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUSNAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-207-1847
Mailing Address - Street 1:PO BOX 32054
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37930
Mailing Address - Country:US
Mailing Address - Phone:865-207-1847
Mailing Address - Fax:865-828-9471
Practice Address - Street 1:8732 RUTLEDGE PIKE
Practice Address - Street 2:SUITE B
Practice Address - City:RUTLEDGE
Practice Address - State:TN
Practice Address - Zip Code:37861
Practice Address - Country:US
Practice Address - Phone:865-828-9470
Practice Address - Fax:865-828-9471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN032093207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4110711OtherBLUE CROSS BLUE SHIELD TN
TN3334045Medicaid
TN0101OtherAMERI CHOICE JOHN DEERE H
3334045Medicare ID - Type Unspecified
H13573Medicare UPIN