Individual
HISHAM WAGDY
Active
Individual
HISHAM WAGDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
31239
IA
207RI0011X
Interventional Cardiology Physician
Primary
31239
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053396283
—
IA
01
—
P00813013
RR MEDICARE
IA
Enumeration date
12/09/2005
Last updated
11/21/2018
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