Individual
RAUF BABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1716 PARR AVE STE F, DYERSBURG, TN 38024
(731) 288-3368
Mailing address
1716 PARR AVE STE F, DYERSBURG, TN 38024-2074
(731) 285-1933
(731) 285-1934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36364
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3877194
—
TN
01
—
4096582
BCBS
TN
Enumeration date
05/27/2005
Last updated
07/26/2018
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