Individual
DR. MAZEN AHMAD ABU HATAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8044 RAY MEARS BLVD, STE 116, KNOXVILLE, TN 37919
(865) 692-9111
(865) 692-9191
Mailing address
PO BOX 32786, KNOXVILLE, TN 37930
(865) 692-9111
(865) 692-9191
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD28777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3827744
—
TN
Enumeration date
10/26/2006
Last updated
07/08/2007
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