Individual
MAHMOUD HASSOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119-0846
(901) 866-8525
(901) 302-2525
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
63540
TN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
63540
TN
Other
Enumeration date
07/29/2015
Last updated
03/26/2025
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