Individual
MOHAMMAD ELDOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(888) 226-4343
Mailing address
262 DANNY THOMAS PL # MS 515, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
63826
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
63826
TN
390200000X
Student in an Organized Health Care Education/Training Program
11018989A
IN
Other
Enumeration date
06/24/2016
Last updated
10/15/2021
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