Individual
DR. MAGED MAHMOUD GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5980
(824) 452-5039
Mailing address
PO BOX 644850, PITTSBURGH, PA 15264-4850
(412) 937-8887
(412) 937-9221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD432272
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001983676
—
PA
01
—
1983676
HIGHMARK
PA
Enumeration date
08/03/2006
Last updated
09/04/2024
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