Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 51034 | TN |
NPI | 1003128372 |
---|---|
Provider Name | Dr. Rayan Abdo Elkattah |
First Address | Chattanooga, TN 37403-1825 |
Second Address | Chattanooga, TN 37403-2136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 25/06/2014 |