Provider Demographics
NPI:1871730978
Name:JONAKIN, STEVEN K (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:JONAKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5328 MANDARIN CIR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-6800
Mailing Address - Country:US
Mailing Address - Phone:423-718-3053
Mailing Address - Fax:
Practice Address - Street 1:5328 MANDARIN CIR
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-6800
Practice Address - Country:US
Practice Address - Phone:423-718-3053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN135442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology