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Individual

DR. MOHAMAD TAMMAM ELABIAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD41979
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003179404A
GA
05
00970870
MS
05
1346463130
MI
05
1346463130
MO
05
165636001
AR
05
178101
AL
05
5441966
TN
Enumeration date
04/10/2007
Last updated
02/25/2025
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