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NPI Code Detail

MEDICARE: DR. NAJI BOURJI M.D.

MEDICARE:  DR. NAJI  BOURJI  M.D.
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
1207RI0011XInterventional Cardiology Physician51438TN
2207RC0000XCardiovascular Disease Physician51438TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2103I112090OTHERTNMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11396033379OTHERTNNPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235318056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAJI BOURJI M.D.
Provider Business Mailing Address
First Line : 17 CENTRE PLAZA DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-2862
Country : US
Telephone Number : 731-512-0104
Fax Number : 731-668-7388
Provider Business Practice Location Address
First Line : 17 CENTRE PLAZA DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-2862
Country : US
Telephone Number : 731-512-0104
Fax Number : 731-668-7388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2007
Last Update Date : 10/30/2023

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Directions to “ DR. NAJI BOURJI M.D.” Practice Location

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