Provider Demographics
NPI:1366006801
Name:BARTLETT HOSPITALIST PLLC
Entity Type:Organization
Organization Name:BARTLETT HOSPITALIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUGHRABIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-358-0326
Mailing Address - Street 1:943 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-7734
Mailing Address - Country:US
Mailing Address - Phone:901-358-0326
Mailing Address - Fax:901-358-9010
Practice Address - Street 1:943 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-7734
Practice Address - Country:US
Practice Address - Phone:901-212-2579
Practice Address - Fax:901-358-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty