Organization Active NPI

Muslim Community of Knoxville's Shifa Clinic

Doing business as Knoxville Shifa Clinic

  • Primary Care Clinic/Center
  • Knoxville, TN
National Provider Identifier
1306325816
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MUSLIM COMMUNITY OF KNOXVILLE'S SHIFA CLINIC
Doing business as
Knoxville Shifa Clinic
Practice address
1801 Ailor Ave
Knoxville, TN 37921-5845
Phone
(865) 851-9979
Fax
(865) 851-9984
NPI assigned
Aug 7, 2018
Organization subpart
Yes
Parent organization
MUSLIM COMMUNITY OF KNOXVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sadril MohammadNPI 1912309725
Title
Operations Manager
Phone
(865) 385-6232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1801 Ailor Ave
Knoxville, TN 37921-5845

Mailing address

1801 Ailor Ave
Knoxville, TN 37921-5845
Phone (865) 851-9979

Other names 1

  • Knoxville Shifa Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Muslim Community of Knoxville's Shifa Clinic

Locations

1801 Ailor Ave
Knoxville, TN 37921
Phone (865) 851-9979

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1306325816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AILOR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215845",
            "telephone_number": "865-851-9979",
            "fax_number": "865-851-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AILOR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215845",
            "telephone_number": "865-851-9979",
            "fax_number": "865-851-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSLIM COMMUNITY OF KNOXVILLE'S SHIFA CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUSLIM COMMUNITY OF KNOXVILLE",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "SADRIL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "865-385-6232"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoxville Shifa Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.