Basic Information
| Provider Information | |||||||||
| NPI: | 1235587619 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAMAA | ||||||||
| FirstName: | NADER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1056 E RAINES RD | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381166337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013005777 | ||||||||
| FaxNumber: | 9014226092 | ||||||||
| Practice Location | |||||||||
| Address1: | 1056 E RAINES RD | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381166337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013005777 | ||||||||
| FaxNumber: | 9014226092 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2016 | ||||||||
| LastUpdateDate: | 06/15/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 65783 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.