Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 46355 | TN |
Y | 207Q00000X | Family Doctor | 46355 | TN |
N | 207VX0000X | Obstetrician | 46355 | TN |
NPI | 1275658650 |
---|---|
Provider Name | Rawad Massouh |
First Address | Memphis, TN 38107 |
Second Address | Memphis, TN 38128-5048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 15/03/2016 |