Individual
WESAM BALLOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2225 UNION AVE, STE 100, MEMPHIS, TN 38104-4316
(901) 726-1161
(901) 726-0161
Mailing address
2225 UNION AVE, STE 100, MEMPHIS, TN 38104-4316
(901) 726-1161
(901) 726-0161
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD37027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3326941
—
TN
Enumeration date
08/02/2005
Last updated
02/28/2025
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