Individual
DR. AHMED M EL-SABBAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301104848
MI
207UN0902X
Nuclear Imaging & Therapy Physician
2015018271
MO
2085R0202X
Diagnostic Radiology Physician
4301104848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015018271
MISSOURI LICCENSE
MO
01
—
4301104848
PHYSICIAN LICENCE
MI
Enumeration date
11/23/2015
Last updated
03/06/2024
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