Ghaly, Mina

Ghaly, Mina is an sole proprietor health care provider with primary practice located at 1200 W Tabor Rd Fl 4 , Philadelphia PA 19141-3019. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ghaly, Mina can be contacted via phone (215) 456-3815.

Contact Information

Primary practice address
1200 W Tabor Rd Fl 4 Philadelphia PA 19141-3019
Phone: (215) 456-3815
Fax: (215) 456-6803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD468282 Pennsylvania

Profile Details

NPI number 1407299902
LBN Legal business name Ghaly, Mina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2013
Last updated May 13th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407299902 NPPES
Pennsylvania MEDICAID 103671057

Popular Providers