Healthcare Provider Details

I. General information

NPI: 1841116944
Provider Name (Legal Business Name): LARA MA'EN ABDEL HAMID ABU RUMMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF TENNESSEE 920 MADISON AVENUE, SUITE 447
MEMPHIS TN
38103
US

IV. Provider business mailing address

50 N. DUNLAP STREET, BOX 20 UNIVERSITY OF TENNESSEE PEDIATRIC RESIDENCY DEPARTMENT
MEMPHIS TN
38103
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6756
  • Fax:
Mailing address:
  • Phone: 901-287-6756
  • Fax: 901-287-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: