Moukamal, Ezz Eldin
Moukamal, Ezz Eldin is an individual health care provider with primary practice located at 2570 Haymaker Rd , Monroeville PA 15146-3513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moukamal, Ezz Eldin can be contacted via phone (412) 858-7618.Contact Information
Primary practice address
2570 Haymaker Rd
Monroeville PA 15146-3513
Phone: (412) 858-7618
Fax: (412) 858-7628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD417539 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD417539 | Pennsylvania |
Profile Details
| NPI number | 1306828421 |
|---|---|
| LBN Legal business name | Moukamal, Ezz Eldin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Nov 5th, 2020 - about 4 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 | 1306828421 | NPPES |
| Pennsylvania | MEDICAID | 0019122840004 | |
| Pennsylvania | MEDICAID | 01912284 |
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