DR. MAZEN AHMAD ABU HATAB (NPI# 1821173121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821173121 |
Entity Type | Individual |
Full Name | DR. MAZEN AHMAD ABU HATAB |
Credential | MD |
Practice Address |
8044 Ray Mears Blvd Ste 116 Knoxville TN 37919 |
Mailing Address |
Po Box 32786 Knoxville TN 37930 |
Practice Telephone | 8656929111 |
Practice Fax Number | 8656929191 |
Mailing Telephone | 8656929111 |
Mailing Fax Number | 8656929191 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD28777 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3827744 | 05 |
Street Address |
8044 RAY MEARS BLVD STE 116 |
City | KNOXVILLE |
State | TN |
Zip Code | 37919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
Find all providers in zip 37919 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184031965 | Knoxville Nephrology Associates LLC | Internal Medicine | 6826 Tice Ln, Knoxville, TN 37918-5240 | 2014-07-14 |
1629061874 | Urath Suresh | Internal Medicine | 1932 Alcoa Hwy, Ste C-460, Knoxville, TN 37920-1527 | 2005-08-23 |
1013900273 | Thomas Robert Miller | Internal Medicine | 3734 Martin Mill Pike, Knoxville, TN 37920-2453 | 2005-08-23 |
1538169305 | Kendra S Hendon | Internal Medicine | 320 Park 40 North Blvd, Suite A, Knoxville, TN 37923-3624 | 2005-07-22 |
1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
1306446133 | Kaitlin M Green | Internal Medicine | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2020-10-30 |
1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
1104016617 | Suresh Narayan Kumar | Internal Medicine | 939 E Emerald Ave Ste 610, Knoxville, TN 37917-4569 | 2007-07-31 |
1518084656 | Daniela Ilioska | Internal Medicine | 320 Park 40 North Blvd, Suite A, Knoxville, TN 37923-3624 | 2007-03-23 |
1083622526 | East Tennessee Nephrology PC | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2006-08-03 |
Find all providers in KNOXVILLE |
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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.