Amro Abujaber
Individual provider Active NPI Private Vehicle · Cordova, TN
NPI 1467919035 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1467919035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- 112738177 (TN)
- Practice address
- 2558 Vintage Dr
Cordova, TN 38016-7521 - Phone
- (731) 935-9578
- NPI assigned
- Mar 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112738117 | TN | MD | Taxi |
| 112738177 | TN | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | 112738117 | TN | |
| Private Vehicle | 347C00000X | 112738177 | TN | Yes |
Addresses
Primary practice location
2558 Vintage Dr
Cordova, TN 38016-7521
Mailing address
2558 Vintage Dr
Cordova, TN 38016-7521
Phone (731) 935-9578
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.