Individual
DR. EIHAB GHANTOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE FL HCC5, NEW YORK, NY 10016-6402
(212) 263-4300
(212) 263-4310
Mailing address
530 1ST AVE FL HCC5, NEW YORK, NY 10016-6402
(212) 263-4300
(212) 263-4310
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
334732
NY
207RC0000X
Cardiovascular Disease Physician
334732
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2023
Last updated
07/29/2025
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