Provider Demographics
NPI:1134243496
Name:BATTAILE, NAJIBA ABULHUSN (MD)
Entity type:Individual
Prefix:DR
First Name:NAJIBA
Middle Name:ABULHUSN
Last Name:BATTAILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAJIBA
Other - Middle Name:
Other - Last Name:ABULHUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:850 POPLAR AVE.
Mailing Address - Street 2:BLDG. 2
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:51 N DUNLAP ST.
Practice Address - Street 2:STE. 320
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105
Practice Address - Country:US
Practice Address - Phone:901-287-7337
Practice Address - Fax:901-226-6601
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS55802084P0800X
TNMD00000069372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TND71847Medicare UPIN
TN3023544Medicare ID - Type Unspecified