Mazen A Abu Hatab (NPI# 1821173121, PAC ID# 7315939261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1821173121 |
| PAC ID by PECOS | 7315939261 |
| Professional Enrollment ID | I20040331001078 |
| Full Name | Mazen A Abu Hatab |
| Address |
415 Devonia St Suite 201 Harriman TN 37748-2047 |
| Phone Number | 8656929111 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | NEPHROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440031 | ROANE MEDICAL CENTER |
| 440120 | PHYSICIANS REGIONAL MEDICAL CENTER |
| 440110 | FORT LOUDOUN MEDICAL CENTER |
| 440173 | PARKWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 415 Devonia St, Suite 201, Harriman, TN 37748-2047 | 8656929111 | |
| 603 Smithview Dr, Maryville, TN 37803-6100 | 8656929111 |
| Street Address |
415 DEVONIA ST SUITE 201 |
| City | HARRIMAN |
| State | TN |
| Zip | 37748-2047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Olsen | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Renu Bhateja | Psychiatry | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Shelly L Bingham | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Timothy S Ochs | Certified Registered Nurse Anesthetist (crna) | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Kenneth Zalewski | Certified Registered Nurse Anesthetist (crna) | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Melissa R Blair | Nurse Practitioner | The Pulmonary and Sleep Consultants | 412 Devonia St, Suite 201, Harriman, TN 37748-2009 |
| Hassan F Nadrous | Pulmonary Disease | The Pulmonary and Sleep Consultants | 412 Devonia St, Suite 201, Harriman, TN 37748-2009 |
| Christiane G Jernigan | Certified Registered Nurse Anesthetist | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Lanita Gann | Nurse Practitioner | 401 Devonia St, Harriman, TN 37748-2010 | |
| Meredith Shropshire | Nurse Practitioner | Thompson Oncology Group | 431 Devonia St, Harriman, TN 37748-2010 |
| Find all physicians in zip 37748 | |||
| City | HARRIMAN |
| Zip Code | 37748 |
| Specialty | NEPHROLOGY |
| City + Specialty | HARRIMAN + NEPHROLOGY |
Please comment or provide details below to improve the information on Mazen A Abu Hatab.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.