Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Mahmoud Khaled Kullab, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538645544

Susan Mahmoud Khaled Kullab, MD is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Registered with an NPI since 2018.

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

325 N State Of Franklin Rd
Johnson City, TN 37604-6056
Phone: (423) 439-7280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1538645544
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESJuly 12, 2018

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