| Doctor Name: | DR. RABAB ISMAIL ELMEZAYEN |
| NPI Number: | 1184949489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD., PHD. |
| License Number: | |
| Business Practice Address: | 444 Clinchfield St Suite 201 B Kingsport, TN - 376603858 |
| Business Phone Number: | 4233023135 |
| Business Fax Number: | 4232300224 |
| Mailing Address: | 509 Med Tech Pkwy, Suite 100 JOHNSON CITY |
| State: | TN |
| Postal Code: | 376042578 |
| Phone Number: | 4233026882 |
| Fax Number: | 4239522147 |
| NPI Enumeration Date: | 03/30/2010 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |