Organization
KHALED A. YEHIA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN C MANSUR (PRESIDENT, MEDICAL BILLING SERVICE)
(603) 253-8987
Entity
Organization
Contact information
Practice address
178 SAVIN ST STE 500, MALDEN, MA 02148-2329
(781) 338-7248
(781) 338-7756
Mailing address
PO BOX 97, MALDEN, MA 02148-0001
(781) 338-7248
(781) 338-7756
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139174
—
MA
Enumeration date
06/21/2010
Last updated
06/21/2010
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