Individual
DAVID SAMIR RUSTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
67863
TN
Other
Enumeration date
05/21/2018
Last updated
01/16/2024
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