MEDICARE: AKRAM KNEFATI

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	363AM0700X	Medical Physician Assistant	4698	TN
2	363A00000X	Physician Assistant	4698	TN

General Provider Information

NPI Number	:	1831851351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKRAM KNEFATI

Provider Business Mailing Address
First Line	:	10700 HIDDEN GROVE LN
Second Line	:
City	:	EADS
State	:	TN
Zip	:	38028-6997
Country	:	US
Telephone Number	:	901-428-2103
Fax Number	:

Provider Business Practice Location Address
First Line	:	2996 KATE BOND RD STE 305
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-4063
Country	:	US
Telephone Number	:	901-300-2971
Fax Number	:

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

Provider Enumeration Date	:	10/12/2021
Last Update Date	:	01/24/2025

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Directions to “ AKRAM KNEFATI ” Practice Location

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