Ghoniem, Gamal M.
Ghoniem, Gamal M. is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ghoniem, Gamal M. can be contacted via phone (714) 456-5378.Contact Information
Primary practice address
101 The City Dr S
Orange CA 92868-3201
Phone: (714) 456-5378
Fax: (714) 456-5062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | C54137 | California |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME0080267 | Florida |
Profile Details
| NPI number | 1467415919 |
|---|---|
| LBN Legal business name | Ghoniem, Gamal M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Aug 18th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467415919 | NPPES |
| California | MEDICAID | 00C541370 | |
| California | MEDICAID | 258724600 |
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