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Individual

DR. AMR Z HEGAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
46B THOMAS JOHNSON DR, SUITE 200, FREDERICK, MD 21702-4300
(301) 695-6777
(301) 695-4852
Mailing address
46B THOMAS JOHNSON DR, SUITE 200, FREDERICK, MD 21702-4300
(301) 695-6777
(301) 695-4852

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D44164
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0081294000
WV. PROVIDER NPI
WV
01
01960002
CAREFIRST FEDERAL
MD
05
112080800
MD
01
1366443152
NPI
MD
01
3601046
UNITED HEALTHCARE
MD
05
3810012215
WV
01
452149
MAMSI
MD
01
522074387
TAX ID
MD
01
5388078
AETNA
MD
01
54749504
CAREFIRST
MD
01
9294621
WV MEDICARE
WV
Enumeration date
08/03/2005
Last updated
01/10/2012
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