MEDICARE: MR. MUHAMED SALAH FAOUR 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	207P00000X	Emergency Medicine Physician	TP142	KY
2	207R00000X	Internal Medicine Physician	37844	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4143376	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1982672507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MUHAMED SALAH FAOUR MD

Provider Business Mailing Address
First Line	:	PO BOX 949
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37162
Country	:	US
Telephone Number	:	931-680-1559
Fax Number	:	931-680-1561

Provider Business Practice Location Address
First Line	:	2762 HWY 231 NORTH
Second Line	:
City	:	SHELBYVILLE
State	:	TN
Zip	:	37160
Country	:	US
Telephone Number	:	931-680-1559
Fax Number	:	931-680-1561

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	10/31/2022

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Directions to “ MR. MUHAMED SALAH FAOUR MD” Practice Location

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