Individual
DR. YOUHANNA S AL-TAWIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1975 TOWN CENTER BLVD, KNOXVILLE, TN 37922-6638
(865) 546-3998
(865) 546-1123
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD35433
TN
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD35433
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3899454
—
TN
01
—
4024902
BLUE CROSS OF TENNESSEE
TN
Enumeration date
09/13/2005
Last updated
02/15/2022
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