Individual
ASHRAF YAHYA ALQAQA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
143 KENNEDY DR, MARTIN, TN 38237-3309
(731) 587-5321
Mailing address
143 KENNEDY DR, MARTIN, TN 38237-3309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08809000
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
51170
TN
Other
Enumeration date
07/23/2011
Last updated
09/06/2014
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