Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roland Nazih Kaddoum, MD

Individual provider Anesthesiology Physician · NPI 1841205382

Dr. Roland Nazih Kaddoum, MD is an Anesthesiology in Memphis, Tennessee. Qualified in 1998, 28 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group and accepts Medicare assignment. Licensed in Michigan and Tennessee.

Years since qualifying
28
Licensed in
MI, TN
In the registry since
2006
Specialties on file
2
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

262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone: (888) 226-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 43705 (TN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301082625 (MI)

Record details

NPI number1841205382
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 19, 2021
Certification dateSeptember 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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