MEDICARE: DR. BASEL EMAD M. H. TAMIMI 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	207R00000X	Internal Medicine Physician	342866	LA
2	207RN0300X	Nephrology Physician	342866	LA

General Provider Information

NPI Number	:	1417794033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BASEL EMAD M. H. TAMIMI MD

Provider Business Mailing Address
First Line	:	1430 TULANE AVE # 8050
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-7809
Fax Number	:	504-988-3971

Provider Business Practice Location Address
First Line	:	1430 TULANE AVE # 8050
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-7809
Fax Number	:	504-988-3971

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

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	07/02/2026

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