Altabbaa, Ahmad H

Altabbaa, Ahmad H is an sole proprietor health care provider with primary practice located at 3950 New Covington Pike Suite 290, Memphis TN 38128-2595. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Altabbaa, Ahmad H can be contacted via phone (901) 791-2764.

Contact Information

Primary practice address
3950 New Covington Pike Suite 290 Memphis TN 38128-2595
Phone: (901) 791-2764
Fax: (901) 791-2783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27191 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27191 Tennessee

Profile Details

NPI number 1952350233
LBN Legal business name Altabbaa, Ahmad H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Jan 18th, 2012 - about 12 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 1952350233 NPPES
Tennessee MEDICAID 30992701

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