Individual
MOHAMMED HUMAYUN KABIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
486 S FLORENCE AVE, JELLICO, TN 37762-2382
(423) 784-1197
(423) 784-1123
Mailing address
486 S FLORENCE AVE, JELLICO, TN 37762-2382
(423) 784-1197
(423) 784-1123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000026093
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD0000026093
TN
207RP1001X
Pulmonary Disease Physician
Primary
43944
KY
207RP1001X
Pulmonary Disease Physician
MD0000026093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021371
—
TN
01
—
3072339
BCBST
TN
05
—
3072339
—
TN
01
—
4160871
BCBS
TN
05
—
4160871
—
TN
05
—
64920614
—
KY
05
—
TN0103
—
TN
Enumeration date
07/03/2006
Last updated
09/13/2016
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