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Wesam Ballouk, MD
Specialist in Memphis, Tennessee
NPI 1841291762

Wesam Ballouk is a Specialist based in Memphis, TN. Wesam Ballouk practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Wesam Ballouk is 1841291762 and holds a License No. MD0037027 (Tennessee).

The current practice location address for Wesam Ballouk is 2225 Union Ave, Memphis, TN and can be reached out via phone at 901-726-1161 and via fax at 901-726-0161.

Location: 2225 Union Ave, Memphis, TN, 38104-4316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841291762
Provider Name
Wesam Ballouk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2225 Union Ave, Memphis, TN, 38104-4316
Phone Number
901-726-1161
Fax Number
901-726-0161
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3326941 05 TN
institution
Provider Business Practice Location Address Details
Address
2225 Union Ave
City
Memphis
State
Tennessee
Zip
38104-4316
Phone Number
901-726-1161
Fax Number
901-726-0161
person
Provider Business Mailing Address Details
Address
2225 Union Ave
City
Memphis
State
Tennessee
Zip
38104-4316
Phone Number
901-726-1161
Fax Number
901-726-0161
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD0037027 (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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