Individual
MOHAMED ALI ELAGNAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11511 CANTERWOOD BLVD STE 205, GIG HARBOR, WA 98332-5818
(253) 985-2949
(253) 985-2948
Mailing address
11511 CANTERWOOD BLVD STE 205, GIG HARBOR, WA 98332-5818
(253) 985-2949
(253) 985-2948
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60735787
WA
207R00000X
Internal Medicine Physician
MD60735787
WA
208M00000X
Hospitalist Physician
MD60735787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080930
—
WA
Enumeration date
08/03/2014
Last updated
09/03/2025
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