Abdel-Fattah, Emad Kamal

Abdel-Fattah, Emad Kamal is an individual health care provider with primary practice located at 1109 E Reelfoot Ave Suite D, Union City TN 38261-5856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Abdel-Fattah, Emad Kamal can be contacted via phone (731) 884-2140.

Contact Information

Primary practice address
1109 E Reelfoot Ave Suite D Union City TN 38261-5856
Phone: (731) 884-2140
Fax: (731) 884-8998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35820 Tennessee

Profile Details

NPI number 1164430872
LBN Legal business name Abdel-Fattah, Emad Kamal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164430872 NPPES
Tennessee Other 4023312 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3899537 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 22089 BLUE CROSS BLUE SHIELD

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