Healthcare Provider Details

I. General information

NPI: 1083695704
Provider Name (Legal Business Name): RAIF WASSEF ELSAKR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 N GERMANTOWN RD
BARTLETT TN
38133-4026
US

IV. Provider business mailing address

2020 EXETER RD
GERMANTOWN TN
38138-3945
US

V. Phone/Fax

Practice location:
  • Phone: 901-377-2111
  • Fax: 901-377-5105
Mailing address:
  • Phone: 901-684-5503
  • Fax: 901-684-5523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number15362
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number26799
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberE-1252
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD26799
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: