Individual
MUNA AHMED ELFAKI MOHAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003
(719) 584-4921
(719) 595-7994
Mailing address
2800 N LAKE SHORE DR APT 3111, CHICAGO, IL 60657-6275
(773) 543-6014
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DR0072638
CO
390200000X
Student in an Organized Health Care Education/Training Program
125078696
IL
Other
Enumeration date
09/06/2021
Last updated
04/26/2024
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