Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10027682 | TX |
N | 111NI0900X | Internist | BP10027682 | TX |
Y | 207RR0500X | Rheumatology | 60141 | TN |
NPI | 1003099359 |
---|---|
Provider Name | Luma Kharabsheh |
First Address | Dickson, TN 37055-2856 |
Second Address | Dickson, TN 37055-2855 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2007 |
Last Update Date | 06/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q004070 | (05) | TN |