MEDICARE: ELIAS ABOU-ZEID 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	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	47838	TN
2	2084N0400X	Neurology Physician	47838	TN

General Provider Information

NPI Number	:	1659572873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIAS ABOU-ZEID MD

Provider Business Mailing Address
First Line	:	49 CLEVELAND ST STE 210
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-2854
Country	:	US
Telephone Number	:	931-787-1303
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 CLEVELAND ST STE 210
Second Line	:
City	:	CROSSVILLE
State	:	TN
Zip	:	38555-2854
Country	:	US
Telephone Number	:	931-787-1303
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	06/26/2020

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Directions to “ ELIAS ABOU-ZEID MD” Practice Location

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