Individual
FAWWAZ A ALKAYYALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
393 WALLACE RD STE A302, NASHVILLE, TN 37211-4983
(615) 781-1935
(615) 781-1936
Mailing address
PO BOX 110925, NASHVILLE, TN 37222-0925
(615) 781-1935
(615) 781-1936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27572
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941739
—
AL
05
—
009975320
—
AL
01
—
3097984
MEDICAID PIN
TN
05
—
3097985
—
TN
01
—
3731879
MEDICARE PIN
TN
01
—
4024735
BCBST
TN
01
—
890-12152
BCBSAL
AL
01
—
P00403756
RAILROAD
TN
Enumeration date
05/25/2006
Last updated
03/20/2019
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