Provider Demographics
NPI:1447614524
Name:ELOMEIRI, MONEIM ELFATIH (MD)
Entity type:Individual
Prefix:DR
First Name:MONEIM
Middle Name:ELFATIH
Last Name:ELOMEIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABDEL-MONEIM
Other - Middle Name:
Other - Last Name:MOHAMED ALI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:8110 N BROTHER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2760
Mailing Address - Country:US
Mailing Address - Phone:901-255-5221
Mailing Address - Fax:
Practice Address - Street 1:80 HUMPHREYS CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2352
Practice Address - Country:US
Practice Address - Phone:901-767-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN73749208200000X
MD390200000X
OK39365208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program