Bagous, Wagdy A

Bagous, Wagdy A is an sole proprietor health care provider with primary practice located at 473 Moon Ridge Ln , Winchester VA 22603-3584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bagous, Wagdy A can be contacted via phone (540) 327-9067.

Contact Information

Primary practice address
473 Moon Ridge Ln Winchester VA 22603-3584
Fax: (540) 667-9171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101233959 Virginia

Profile Details

NPI number 1831170125
LBN Legal business name Bagous, Wagdy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2005
Last updated Nov 5th, 2012 - about 13 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 1831170125 NPPES
Virginia MEDICAID 010012660

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