Individual
DR. RABAB ISMAIL ELMEZAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD., PHD.
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604
(423) 431-1810
(423) 431-1811
Mailing address
408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
(423) 431-1810
(423) 431-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50453
TN
207RI0200X
Infectious Disease Physician
Primary
0101257730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184949489
—
NC
05
—
1184949489
—
VA
05
—
7100272730
—
KY
01
—
P01477266
RAILROAD MEDICARE
TN
05
—
Q002518
—
TN
Enumeration date
03/30/2010
Last updated
11/05/2024
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