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Individual
MOHAMED HEGAZI
Active
Individual
MOHAMED HEGAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TP460
KY
207RH0003X
Hematology & Oncology Physician
Primary
48193
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48193
LICENSE
KY
05
—
7100385280
—
KY
01
—
K196554
MEDICARE
KY
Enumeration date
01/26/2015
Last updated
10/19/2018
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