Abu Ghanam, Mahmoud

Abu Ghanam, Mahmoud is an sole proprietor health care provider with primary practice located at 111 Sullivan Ave , Ferndale NY 12734-4315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Abu Ghanam, Mahmoud can be contacted via phone (845) 292-0078.

Contact Information

Primary practice address
111 Sullivan Ave Ferndale NY 12734-4315
Phone: (845) 292-0078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 001755 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 001755 New York

Profile Details

NPI number 1912952540
LBN Legal business name Abu Ghanam, Mahmoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Nov 17th, 2022 - about 2 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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