MAHMOUD HASSOUBA

MEMPHIS, TN
NPI1437534682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TN  63540)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  57.025819)
Enumeration Date2015-07-29
Last Update Date2022-04-08
Business Address
MAHMOUD HASSOUBA MD
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119-0846
Phone number: 901-866-8525
Mailing Address
MAHMOUD HASSOUBA MD
4100 TARRAGON CT
SPRINGFIELD, IL 62711-6241
Phone number: 203-303-4950