Eldaly, Mohamed E
Eldaly, Mohamed E is an individual health care provider with primary practice located at 880 E Tuolumne Rd 103, Turlock CA 95382-1548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Eldaly, Mohamed E can be contacted via phone (209) 669-8300.Contact Information
Primary practice address
880 E Tuolumne Rd 103
Turlock CA 95382-1548
Phone: (209) 669-8300
Fax: (209) 669-9300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 75069 | Massachusetts |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | C52285 | California |
Profile Details
NPI number | 1962501718 |
---|---|
LBN Legal business name | Eldaly, Mohamed E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2006 |
Last updated | Jun 2nd, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962501718 | NPPES |
California | MEDICAID | 00C522850 | |
California | Other | 00C522850 | |
California | MEDICAID | GR0103970 |
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