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Mohammad Hassan Koucheki, MD,PC
Specialist in Crossville, Tennessee
NPI 1235297847

Mohammad Hassan Koucheki is a Specialist based in Crossville, TN. Mohammad Hassan Koucheki practices in Crossville, TN and has the professional credentials of MD,PC. The NPI Number for Mohammad Hassan Koucheki is 1235297847 and holds a License No. MD0000012315 (Tennessee).

The current practice location address for Mohammad Hassan Koucheki is 40 Elmo Dr, Crossville, TN and can be reached out via phone at 931-484-5525 and via fax at 931-456-8320. You can also correspond with Mohammad Hassan Koucheki through the mailing address at 40 ELMO DR, CROSSVILLE, TN - 38555-4807 (mailing address contact number: 931-484-5525).

Location: 40 Elmo Dr, Crossville, TN, 38555-4807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235297847
Provider Name
Mohammad Hassan Koucheki
Credential
MD,PC
Provider Entity Type
Individual
Gender
Male
Address
40 Elmo Dr, Crossville, TN, 38555-4807
Phone Number
931-484-5525
Fax Number
931-456-8320
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3172878 05 TN
institution
Provider Business Practice Location Address Details
Address
40 Elmo Dr
City
Crossville
State
Tennessee
Zip
38555-4807
Phone Number
931-484-5525
Fax Number
931-456-8320
person
Provider Business Mailing Address Details
Address
40 Elmo Dr
City
Crossville
State
Tennessee
Zip
38555-4807
Phone Number
931-484-5525
Fax Number
931-456-8320
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD0000012315 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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