Basic Information
| Provider Information | |||||||||
| NPI: | 1215533187 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EL SHAARAWY | ||||||||
| FirstName: | SHAIMAA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, PHD, MS | ||||||||
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| Mailing Information | |||||||||
| Address1: | BAPTIST MEMORIAL HOSPITAL - MEMPHIS | ||||||||
| Address2: | 6019 WALNUT GROVE ROAD | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 38120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9012261350 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | BAPTIST MEMORIAL HOSPITAL - MEMPHIS | ||||||||
| Address2: | 6019 WALNUT GROVE ROAD | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 38120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9012261350 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2020 | ||||||||
| LastUpdateDate: | 12/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.