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Individual

EHAB S KASASBEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
113 HIGHWAY 70 EAST, DICKSON, TN 37055-2075
(615) 441-4435
(615) 441-4457
Mailing address
127 CRESTVIEW PARK DRIVE, DICKSON, TN 37055-2855
(615) 446-5121
(615) 446-1359

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD45040
TN
207RI0011X
Interventional Cardiology Physician
Primary
MD45040
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1515943
TN
01
4329501
BCBS TN
Enumeration date
08/18/2007
Last updated
12/10/2025
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