Individual
DR. MAHMOUD ELGHOROURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
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
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