Individual
DR. MOHAMED IMAM EL BAHY IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3024
(253) 985-6190
(253) 944-6986
Mailing address
11307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3024
(253) 985-6190
(253) 944-6986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052227
IL
207R00000X
Internal Medicine Physician
Primary
MD60579714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048593
—
WA
Enumeration date
12/14/2009
Last updated
12/04/2020
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