MEDICARE: DR. MOHAMMED M BAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	37715	TN
2	207Q00000X	Family Medicine Physician	37715	TN

General Provider Information

NPI Number	:	1215939269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED M BAH MD

Provider Business Mailing Address
First Line	:	5905 STAGE RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-4521
Country	:	US
Telephone Number	:	901-779-8657
Fax Number	:	901-791-4208

Provider Business Practice Location Address
First Line	:	5905 STAGE RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-4521
Country	:	US
Telephone Number	:	901-779-8657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	04/06/2026

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