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Individual

IHAB MOURIS BOTROS SHENOUDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
727 SE MAIN ST, SUITE 130, SIMPSONVILLE, SC 29681-3247
(864) 454-6560
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30962
SC

Other

Enumeration date
06/11/2008
Last updated
06/12/2021
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