Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ESSAM Y. TELLAWI, M.D.
DeactivatedESSAM Y. TELLAWI, M.D. is a Gastroenterology healthcare provider located in JACKSON, Michigan. NPI 1093715690 is deactivated in the NPPES registry. Verify at CMS.
Gastroenterology · JACKSON, MI
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1093715690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2005 (0.65205479452055 yrs)
- Last Updated
- Oct 15, 2025
- Deactivated
- Mar 21, 2006
- Licenses
-
4301055821 (MI)0101040870 (VA)4301055821 (MI)MD-45632 (IA)D34274 (MD)
Practice Information
- Address
-
205 N EAST AVEJACKSON, MI, 492011753Browse MI providers · Browse ZIP 49201
- Phone
- 5172054800
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| RANGARAO PANGULURI | MD | 1619952405 |
| HARSHAD P PATEL | MD | 1871558452 |
| NADEEM ULLAH | MD | 1477592996 |
| DR. MOHAMMAD RAZA ANEES | MBBS | 1124137104 |
| DR. LYNN TIMOTHY SCHACHINGER | D.O. | 1851420947 |
| DR. FADI ALALI | M.D | 1104073022 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.