Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 24307 | MS |
Y | 207VX0201X | Gynecologic Oncologist | 53843 | TN |
N | 207VX0201X | Gynecologic Oncologist | E-9633 | AR |
NPI | 1194954222 |
---|---|
Provider Name | Dr. Adam Christopher Elnaggar |
First Address | Germantown, TN 38138-3941 |
Second Address | Germantown, TN 38138-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 29/08/2016 |