Individual
HICHAM EL MASRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 865-6100
(480) 461-4261
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01068703A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01068703A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
51687
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000694490
ANTHEM BCBS
IN
05
—
106658
—
AZ
05
—
201007910
—
IN
01
—
P00945280
RAILROAD MEDICARE (SVMG)
IN
Enumeration date
06/23/2008
Last updated
09/08/2020
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