Individual
DR. MONDA LOTFY MANSOUR SHEHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(443) 643-7197
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(443) 643-7197
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
289450-1
NY
Other
Enumeration date
08/08/2011
Last updated
05/09/2018
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