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Individual

NAQEEBULLAH ELHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
URB. BELLA VISTA GARDENS, 25 BELLA VISTA GARDENS, MAYAGUEZ, PR 00680-8315
(510) 284-9111
(510) 369-3710
Mailing address
PO BOX 79317, CAROLINA, PR 00984-9317

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22224
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039217900
PR
Enumeration date
04/07/2021
Last updated
08/23/2023
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