MR. ABDULHAFIZ M EL-ETR (NPI# 1801854641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801854641 |
| Entity Type | Individual |
| Full Name | MR. ABDULHAFIZ M EL-ETR |
| Credential | MD |
| Practice Address |
1480 E 3rd St Bldg B Chattanooga TN 37404-2434 |
| Mailing Address |
1480 E 3rd St Bldg B Chattanooga TN 37404 |
| Practice Telephone | 4236484995 |
| Practice Fax Number | 4236484997 |
| Mailing Telephone | 4236484995 |
| Mailing Fax Number | 4236484997 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TN40612 | TN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
40612 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3338973 | 05 | |
| TN | TN MEDICAL LICENSE | 40612 | 01 |
| TN | BCBS | 4130151 | 01 |
| GA | GA MEDICAL LICENSE | 54485 | 01 |
| Street Address |
1480 E 3RD ST BLDG B |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801926100 | Joshua Peter Alpers | Psychiatry & Neurology | 979 E 3rd St Ste C830, Ut Erlanger Neurology, Chattanooga, TN 37403-3325 | 2007-03-06 |
| 1679660922 | Bruce A Kaplan | Psychiatry & Neurology | 1322 Dodds Ave, Chattanooga, TN 37404 | 2006-10-06 |
| 1578511598 | Ravi S Chander | Psychiatry & Neurology | 7425 Ziegler Road, Suite 101, Chattanooga, TN 37421-2136 | 2006-05-04 |
| 1053307041 | Yuchun Han | Psychiatry & Neurology | 1626 Gunbarrel Rd, Chattanooga, TN 37421-7125 | 2005-09-25 |
| 1730789926 | Jennifer P Bryan | Psychiatry & Neurology | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2020-10-28 |
| 1639693609 | Chattanooga Neurology Associates Pllc | Psychiatry & Neurology | 721 Glenwood Dr Ste 467, Chattanooga, TN 37404-1154 | 2017-08-01 |
| 1497166425 | Jake Mckay | Psychiatry & Neurology | 979 E 3rd St Ste C830, Chattanooga, TN 37403 | 2014-05-13 |
| 1629496989 | Cory Jay Rice | Psychiatry & Neurology | 979 E 3rd St Ste C830, Chattanooga, TN 37403 | 2014-04-03 |
| 1962848713 | Kadrie Partners | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467 West, Chattanooga, TN 37404-1106 | 2013-05-21 |
| 1396033437 | Ruchir Ashwinbhai Shah | Psychiatry & Neurology | 979 E 3rd St, Suite C-830, Chattanooga, TN 37403-2136 | 2011-07-11 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on MR. ABDULHAFIZ M EL-ETR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.