Individual
DR. YOUSSEF TAWFIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 BELL RD, ANTIOCH, TN 37013-2001
(615) 365-9994
(615) 365-3443
Mailing address
555 BELL ROAD, ANBA ABRAAM MEDICAL CLINIC, ANTIOCH, TN 37013
(615) 365-9994
(615) 365-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9600750
NC
291U00000X
Clinical Medical Laboratory
44D2033773
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10341117166
PTAN NUMBER
—
01
—
1409706
UHC PROVIDER NUMBER
—
05
—
1525906
—
TN
01
—
1610088
AMERIGROUP PROVIDER NUMBER
TN
01
—
4314797
BCBS PROVIDER NUMBER
TN
Enumeration date
03/31/2006
Last updated
08/22/2013
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