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Individual

WAJIH ISTANBOULI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6570 SUMMER OAKS CV, BARTLETT, TN 38134-2857
(901) 373-7100
(901) 842-0020
Mailing address
P O BOX 1000 DEPT 978, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40248
TN
207R00000X
Internal Medicine Physician
E0106
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125549001
AR
Enumeration date
05/11/2006
Last updated
03/26/2018
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