Individual
DR. WISSAM ALDAYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-3610
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27701
MS
207R00000X
Internal Medicine Physician
326407
NY
207R00000X
Internal Medicine Physician
Primary
57704
TN
207R00000X
Internal Medicine Physician
E-13223
AR
Other
Enumeration date
05/26/2015
Last updated
01/04/2024
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