Abu Hatab, Mazen Ahmad

Abu Hatab, Mazen Ahmad is an individual health care provider with primary practice located at 8044 Ray Mears Blvd Ste 116, Knoxville TN 37919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Abu Hatab, Mazen Ahmad can be contacted via phone (865) 692-9111.

Contact Information

Primary practice address
8044 Ray Mears Blvd Ste 116 Knoxville TN 37919
Phone: (865) 692-9111
Fax: (865) 692-9191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD28777 Tennessee

Profile Details

NPI number 1821173121
LBN Legal business name Abu Hatab, Mazen Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1821173121 NPPES
Tennessee MEDICAID 3827744

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