Individual
DR. MAHMOUD ELGHOROURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301054826
MI
261QP2300X
Primary Care Clinic/Center
4301054826
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007894
MIDWEST
MI
01
—
0127320
TOTAL HEALTHCARE MEDICAID
MI
01
—
0638791
BCN/ BCBS
MI
01
—
1145069
FIRST HEALTH
MI
01
—
315044
CIGNA
MI
05
—
330383510
—
MI
01
—
F28984
HAP
MI
Enumeration date
07/19/2006
Last updated
06/10/2019
Update your record
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