Individual
DR. HOSAMELDIN MADKOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12675 HESPERIA RD, VICTORVILLE, CA 92395-5878
(760) 241-3306
(760) 241-6243
Mailing address
12675 HESPERIA RD, VICTORVILLE, CA 92395-5878
(760) 241-3306
(760) 241-6243
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A45840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
06/18/2006
Last updated
07/21/2022
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