Allam, Medhat

Allam, Medhat is an individual health care provider with primary practice located at 365 County Road 39A Suite 11, Southampton NY 11968-5284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Allam, Medhat can be contacted via phone (631) 287-6202.

Contact Information

Primary practice address
365 County Road 39A Suite 11 Southampton NY 11968-5284
Phone: (631) 287-6202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 193888 New York

Profile Details

NPI number 1932108412
LBN Legal business name Allam, Medhat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1932108412 NPPES
New York Other 193888 LICENSE #
New York MEDICAID 01649430 LICENSE #

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