IndividualActive
David Rustom, MD
NPI 1578054078 · Nephrology Physician · Memphis, TN
Provider details
- NPI number
- 1578054078
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 67863 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
Approximate (ZIP-level) locationGet directions
Mailing address
1030 Jefferson Ave
Memphis, TN 38104-2127
Registry dates
- Enumerated
- 2018-05-21
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.