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Individual

ZAHER AL-SHALLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7710 WOLF RIVER CIR, GERMANTOWN, TN 38138-1734
(901) 888-4144
Mailing address
PO BOX 847, CORDOVA, TN 38088-0847
(901) 888-4144
(901) 328-1450

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
46930
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03955596
MS
01
1031396319
MEDICARE PTAN
TN
05
1524056
TN
05
189825001
AR
Enumeration date
05/04/2006
Last updated
09/19/2023
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