Organization
RAMA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAWWAZ ALKAYYALI MD (PRESIDENT)
(615) 781-1935
Entity
Organization
Contact information
Practice address
397 WALLACE RD, SUITE C 303, NASHVILLE, TN 37211-4854
(615) 781-1935
(615) 781-1936
Mailing address
PO BOX 110925, NASHVILLE, TN 37222-0925
(615) 781-1935
(615) 781-1936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27572
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10067551
AMERIGROUP
TN
05
—
3097984
—
TN
Enumeration date
06/13/2007
Last updated
04/02/2013
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