Individual
EMAD KAMAL ABDEL-FATTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 E REELFOOT AVE, SUITE D, UNION CITY, TN 38261-5856
(731) 884-2140
(731) 884-8998
Mailing address
1109 E REELFOOT AVE, SUITE D, UNION CITY, TN 38261-5856
(731) 884-2140
(731) 884-8998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22089
—
TN
05
—
3899537
—
TN
01
—
4023312
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/04/2006
Last updated
06/10/2024
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