DR. SHAZA BASBAR DAFALLA (NPI# 1326526211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326526211 |
| Entity Type | Individual |
| Full Name | DR. SHAZA BASBAR DAFALLA |
| Practice Address |
362 Dover Glen Dr Antioch TN 37013-1825 |
| Practice Telephone | 3364574197 |
| Mailing Telephone | 3364574197 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
362 DOVER GLEN DR |
| City | ANTIOCH |
| State | TN |
| Zip Code | 37013-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902422843 | Muddasir Mohammed | Student in an Organized Health Care Education/Training Program | 1212 Saxony Lake Dr, Antioch, TN 37013-3793 | 2020-06-16 |
| 1205462819 | Derek Curt Knapp | Student in an Organized Health Care Education/Training Program | 4900 Canada Valley Rd Apt 165, Antioch, CA 94531-9003 | 2020-03-14 |
| 1376035246 | Ernesto Luis Enrique | Student in an Organized Health Care Education/Training Program | 4707 Hunter Peak Ct, Antioch, CA 94531-8312 | 2018-06-05 |
| 1730632183 | Deidra Flanagan | Student in an Organized Health Care Education/Training Program | 3856 Osprey Dr, Antioch, CA 94509-6473 | 2016-08-02 |
| 1790135531 | Mariah Shepherd | Student in an Organized Health Care Education/Training Program | 1 Hickory Club Dr, Apt 2321, Antioch, TN 37013-6123 | 2016-06-13 |
| 1376943548 | Steven Gunther | Student in an Organized Health Care Education/Training Program | 52 E 16th St Apt 6, Antioch, CA 94509-2460 | 2014-08-25 |
| 1609151653 | Melinda Suzanne Carchidi | Student in an Organized Health Care Education/Training Program | 4204 Rocky Point Dr, Antioch, CA 94509-6960 | 2011-10-20 |
| 1639458706 | John Fayez Shenoda | Student in an Organized Health Care Education/Training Program | 4128 Pleasant Colony Dr, Antioch, TN 37013-5476 | 2011-08-08 |
| 1902428964 | Jocelyn Schneider | Student in an Organized Health Care Education/Training Program | 2335 Country Hills Dr, Antioch, CA 94509-7319 | 2020-05-13 |
| 1134767122 | Alison Danielle Powe | Student in an Organized Health Care Education/Training Program | 3701 Lone Tree Way Ste 7, Antioch, CA 94509-6015 | 2019-12-20 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.