Individual
IBRAHIM NAKHOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4485 W STONE DR, SUITE 200, KINGSPORT, TN 37660-1050
(423) 224-3150
(423) 224-3169
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101244786
VA
207RH0003X
Hematology & Oncology Physician
39976
KY
207RH0003X
Hematology & Oncology Physician
Primary
44491
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514709
—
TN
Enumeration date
06/18/2006
Last updated
11/13/2019
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