Individual
NOAH ELAGAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16001 PROVIDENCE DR, SOUTHFIELD, MI 48075
(248) 849-3000
Mailing address
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374-1212
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4351053043
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2024
Last updated
04/23/2024
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