Shala, Mohamed Bashar Abou
Shala, Mohamed Bashar Abou is an individual health care provider with primary practice located at 6799 Great Oaks Rd , Memphis TN 38138-2588. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shala, Mohamed Bashar Abou can be contacted via phone (901) 751-0405.Contact Information
Primary practice address
6799 Great Oaks Rd
Memphis TN 38138-2588
Phone: (901) 751-0405
Fax: (901) 751-9694
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 26593 | Tennessee |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 26593 | Tennessee |
Profile Details
NPI number | 1841277308 |
---|---|
LBN Legal business name | Shala, Mohamed Bashar Abou |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2005 |
Last updated | Feb 14th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841277308 | NPPES |
Tennessee | Other | 4146206 | BCBS |
Tennessee | Other | P00378331 | BCBS |
Tennessee | Other | 5188055 | BCBS |
Tennessee | Other | P00393920 | BCBS |
Tennessee | MEDICAID | 3094124 | BCBS |
Tennessee | Other | 000000015934 | BCBS |
Tennessee | MEDICAID | 00116832 | BCBS |
Tennessee | Other | 02100041401 | BCBS |
Tennessee | Other | 97426 | BCBS |
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