Individual
AHMED HASSAN A. ELWIDAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4351 E LOHMAN AVE, LAS CRUCES, NM 88011-8259
(575) 522-2233
Mailing address
4351 E LOHMAN AVE, LAS CRUCES, NM 88011-8259
(575) 522-2233
(330) 884-0651
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD2023-0600
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2017
Last updated
07/16/2023
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