Organization
REGAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUND ELGHOROURY M.D. (OWNER)
(248) 852-5177
Entity
Organization
Contact information
Practice address
2502 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-3817
(248) 852-5177
(248) 852-5424
Mailing address
2502 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-3817
(248) 852-5177
(248) 852-5424
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3303835
—
MI
Enumeration date
11/06/2006
Last updated
08/22/2020
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