Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 39914 | KY |
N | 111NI0900X | Internist | 39914 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD44936 | TN |
N | 207RI0011X | Interventional Cardiology | MD44936 | TN |
NPI | 1013958776 |
---|---|
Provider Name | Ahmad J Abu-Halimah |
First Address | Antioch, TN 37013-1851 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 09/02/2022 |