Atwa, Hesham Mahmoud

Atwa, Hesham Mahmoud is an sole proprietor health care provider with primary practice located at 620 Belle Terre Rd Suite 5, Port Jefferson NY 11777-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Atwa, Hesham Mahmoud can be contacted via phone (631) 476-9296.

Contact Information

Primary practice address
620 Belle Terre Rd Suite 5 Port Jefferson NY 11777-2500
Phone: (631) 476-9296
Fax: (631) 476-9298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 221306 New York

Profile Details

NPI number 1841286788
LBN Legal business name Atwa, Hesham Mahmoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Oct 5th, 2010 - about 14 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 1841286788 NPPES
New York MEDICAID 02229490

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