Individual
DR. EZZ ELDIN MOUKAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 858-7618
(412) 858-7628
Mailing address
3824 NORTHERN PIKE, SUITE 200, MONROEVILLE, PA 15146
(412) 457-0060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD417539
PA
208M00000X
Hospitalist Physician
MD417539
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019122840004
—
PA
05
—
01912284
—
PA
Enumeration date
11/15/2005
Last updated
11/05/2020
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