Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 390200000X | TN |
NPI | 1568834364 |
---|---|
Provider Name | Dr. Zaid Alshaalan |
First Address | Memphis, TN 38119-4528 |
Second Address | Philadelphia, PA 19107-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2015 |
Last Update Date | 20/06/2016 |