Rustom, Amal
Rustom, Amal is an individual health care provider with primary practice located at 7691 Poplar Ave , Germantown TN 38138-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Rustom, Amal can be contacted via phone (901) 516-6970.Contact Information
Primary practice address
7691 Poplar Ave
Germantown TN 38138-3904
Phone: (901) 516-6970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 27218 | Tennessee |
Profile Details
| NPI number | 1831190834 |
|---|---|
| LBN Legal business name | Rustom, Amal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 1st, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831190834 | NPPES |
| Tennessee | MEDICAID | 3836613 |
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