Elghannam, Hesham M
Elghannam, Hesham M is an individual health care provider with primary practice located at 2424 S 90Th St Ste 300 , West Allis WI 53227-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Elghannam, Hesham M can be contacted via phone (414) 328-8150.Contact Information
Primary practice address
2424 S 90Th St Ste 300
West Allis WI 53227-2455
Phone: (414) 328-8150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 61317 | Wisconsin |
Profile Details
| NPI number | 1023212289 |
|---|---|
| LBN Legal business name | Elghannam, Hesham M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jun 26th, 2023 - about 2 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 | 1023212289 | NPPES |
| Wisconsin | MEDICAID | 100033017 | |
| Wisconsin | Other | 0235677 | |
| Wisconsin | MEDICAID | 8509416 |
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