Abou El Ezz, Ahsraf Y

Abou El Ezz, Ahsraf Y is an individual health care provider with primary practice located at 2015 Jackson St , Anderson IN 46016-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Abou El Ezz, Ahsraf Y can be contacted via phone (765) 649-2511.

Contact Information

Primary practice address
2015 Jackson St Anderson IN 46016-4337
Phone: (765) 649-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34646 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01079419A Indiana

Profile Details

NPI number 1841291986
LBN Legal business name Abou El Ezz, Ahsraf Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 6th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841291986 NPPES
Kentucky MEDICAID 64004328

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