Individual
MUSTAFA OMAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 EASTMORELAND AVE STE 310, MEMPHIS, TN 38104-7544
(901) 758-7970
(901) 266-6425
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72043
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2018
Last updated
09/30/2024
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