Provider Demographics
NPI:1487492435
Name:BUDAIR, RAWAN
Entity type:Individual
Prefix:
First Name:RAWAN
Middle Name:
Last Name:BUDAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1393 RIVER LOOK CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-7923
Mailing Address - Country:US
Mailing Address - Phone:901-633-7873
Mailing Address - Fax:
Practice Address - Street 1:1393 RIVER LOOK CIR APT 101
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-7923
Practice Address - Country:US
Practice Address - Phone:901-633-7873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00002080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases