Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Samir Rustom, MD

Individual provider Nephrology Physician · NPI 1578054078

David Samir Rustom, MD is a Nephrology Physician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 67863 (TN)

Record details

NPI number1578054078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1030 Jefferson Ave, Memphis, TN 38104-2127

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