Abdel Moutagaly, Rizk M
Abdel Moutagaly, Rizk M is an sole proprietor health care provider with primary practice located at 715 Gandy St , Russellville AL 35653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Abdel Moutagaly, Rizk M can be contacted via phone (256) 332-1175.Contact Information
Primary practice address
715 Gandy St
Russellville AL 35653
Phone: (256) 332-1175
Fax: (256) 332-1171
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22718 | Alabama |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22718 | Alabama |
Profile Details
NPI number | 1528021474 |
---|---|
LBN Legal business name | Abdel Moutagaly, Rizk M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2006 |
Last updated | Feb 23rd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528021474 | NPPES |
Alabama | Other | 51021621 | BLUE CROSS BLUE SHIELD |
Alabama | MEDICAID | 000021621 | BLUE CROSS BLUE SHIELD |
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