Assaf, Mohammad Theib

Assaf, Mohammad Theib is an sole proprietor health care provider with primary practice located at 6005 Park Ave Suite # 722B, Memphis TN 38119-5202. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Assaf, Mohammad Theib can be contacted via phone (901) 683-8448.

Contact Information

Primary practice address
6005 Park Ave Suite # 722B Memphis TN 38119-5202
Phone: (901) 683-8448
Fax: (901) 683-8558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13794 Mississippi
Other Service Providers / Specialist 174400000X MD0000027300 Tennessee

Profile Details

NPI number 1205845468
LBN Legal business name Assaf, Mohammad Theib
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1205845468 NPPES
Mississippi MEDICAID 00114404

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