Dessouki, Amr L

Dessouki, Amr L is an individual health care provider with primary practice located at 3803 S Bascom Ave Ste 104, Campbell CA 95008-7317. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dessouki, Amr L can be contacted via phone (408) 559-0666.

Contact Information

Primary practice address
3803 S Bascom Ave Ste 104 Campbell CA 95008-7317
Phone: (408) 559-0666
Fax: (408) 377-0811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 453889 California

Profile Details

NPI number 1013905389
LBN Legal business name Dessouki, Amr L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 2nd, 2010 - about 15 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 1013905389 NPPES
California MEDICAID 00A538890

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