Organization
THE CHRISTIAN EYE CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD RAGHEB SHENOUDA MD (PRESIDENT)
(515) 333-3333
Entity
Organization
Contact information
Practice address
7011 DOUGLAS AVE, DES MOINES, IA 50322-3223
(515) 333-3333
(515) 362-7933
Mailing address
PO BOX 7703, DES MOINES, IA 50323-7703
(515) 333-3333
(515) 283-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33949
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1229203
—
IA
Enumeration date
04/05/2008
Last updated
11/03/2014
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