Shala, Mohamed Bashar Abou

Shala, Mohamed Bashar Abou is an individual health care provider with primary practice located at 6799 Great Oaks Rd , Memphis TN 38138-2588. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shala, Mohamed Bashar Abou can be contacted via phone (901) 751-0405.

Contact Information

Primary practice address
6799 Great Oaks Rd Memphis TN 38138-2588
Phone: (901) 751-0405
Fax: (901) 751-9694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 26593 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 26593 Tennessee

Profile Details

NPI number 1841277308
LBN Legal business name Shala, Mohamed Bashar Abou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Feb 14th, 2014 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841277308 NPPES
Tennessee Other 4146206 BCBS
Tennessee Other P00378331 BCBS
Tennessee Other 5188055 BCBS
Tennessee Other P00393920 BCBS
Tennessee MEDICAID 3094124 BCBS
Tennessee Other 000000015934 BCBS
Tennessee MEDICAID 00116832 BCBS
Tennessee Other 02100041401 BCBS
Tennessee Other 97426 BCBS

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