Organization
RISE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HESHAM EL GAMAL MD (OWNER)
(617) 216-2945
Entity
Organization
Contact information
Practice address
960 W WOOSTER ST STE 107, BOWLING GREEN, OH 43402-2646
(419) 373-7692
Mailing address
PO BOX 72369, CLEVELAND, OH 44192-0002
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35084310
OH
207RP1001X
Pulmonary Disease Physician
Primary
35084310
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35084310
OH
Other
Enumeration date
07/22/2009
Last updated
06/17/2011
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