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NPI 1760019277 · live from the CMS NPI Registry

Andre Matthew Agassi

Radiology, Diagnostic Radiology in Knoxville, TN. National Provider Identifier 1760019277, active.

NPI record

NPI1760019277 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location4820 Old Kingston Pike, Knoxville, TN 37919
Practice phone865-558-9862
EnumeratedMarch 25, 2020
Last updatedJune 15, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202X76627 (TN)
Student in an Organized Health Care Education/Training Program390200000X— (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.