Provider Demographics
NPI:1609253285
Name:KABBANI, MAJD AL-DEAN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MAJD
Middle Name:AL-DEAN
Last Name:KABBANI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 UNION AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6655
Mailing Address - Country:US
Mailing Address - Phone:901-478-0954
Mailing Address - Fax:
Practice Address - Street 1:1325 EASTMORELAND AVE STE 310
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-7544
Practice Address - Country:US
Practice Address - Phone:901-758-7970
Practice Address - Fax:901-266-6425
Is Sole Proprietor?:No
Enumeration Date:2015-05-02
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.139253208600000X
TN64105208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery