Koucheki, Mohammad Hassan

Koucheki, Mohammad Hassan is an sole proprietor health care provider with primary practice located at 40 Elmo Dr , Crossville TN 38555-4807. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Koucheki, Mohammad Hassan can be contacted via phone (931) 484-5525.

Contact Information

Primary practice address
40 Elmo Dr Crossville TN 38555-4807
Phone: (931) 484-5525
Fax: (931) 456-8320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12315 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12315 Tennessee

Profile Details

NPI number 1235297847
LBN Legal business name Koucheki, Mohammad Hassan
Credentials M.D., P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Jun 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235297847 NPPES
Tennessee MEDICAID 3172878

Popular Providers