Individual
DR. AHMAD H ALTABBAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 NEW COVINGTON PIKE, SUITE 290, MEMPHIS, TN 38128-2595
(901) 791-2764
(901) 791-2783
Mailing address
PO BOX 3836, CORDOVA, TN 38088-3836
(901) 791-2764
(901) 791-2783
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27191
TN
207R00000X
Internal Medicine Physician
Primary
27191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30992701
—
TN
Enumeration date
05/06/2006
Last updated
01/18/2012
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