Boutros, Gamal S

Boutros, Gamal S is an individual health care provider with primary practice located at 809 Lamont St , Johnson City TN 37604-5453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Boutros, Gamal S can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
809 Lamont St Johnson City TN 37604-5453
Phone: (423) 926-1171
Fax: (423) 282-8533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD0000027959 Tennessee

Profile Details

NPI number 1235168949
LBN Legal business name Boutros, Gamal S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 7th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235168949 NPPES
Tennessee Other 4037855 BCBS
Tennessee Other 721513353 BCBS
Tennessee Other 0237660KP BCBS
Tennessee MEDICAID 3800768 BCBS

Popular Providers