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Individual

DR. LAMA MA ELBAHLAWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
37849
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009971325
AL
05
08958791
MS
05
1470881
LA
05
154139001
AR
05
200077380A
OK
05
200379190A
KS
05
200512820A
IN
05
208967505
MO
05
422400000
ME
05
5440117
TN
05
64082142
KY
Enumeration date
05/23/2005
Last updated
09/28/2012
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