SearchTennessee208M00000X

Matthew Tjahja

NPI 1467088450 · on the registry since 2020

Practice

Address
1924 Alcoa Hwy # U56
Knoxville, TN 37920
Phone
(865) 305-6446
Clinicians at this address
31

Additional practice sites

  • 2401 S 31st St # Ms 01161b, Temple, TX

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
390200000X
207R00000X
Licence states on file
TN, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee