Individual
DR. EHAB MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5411 GRAND BLVD, SUITE 101, NEW PORT RICHEY, FL 34652-4011
(727) 842-3600
(727) 845-0732
Mailing address
5411 GRAND BLVD, SUITE 101, NEW PORT RICHEY, FL 34652-4011
(727) 842-3600
(727) 845-0732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME67843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26901
BCBS INDIVIDUAL
FL
01
—
74767
BCBS GROUP
FL
01
—
DC7779
RAILROAD MEDICARE GROUP
FL
01
—
P00185607
RAILROAD MEDICARE INDIVID
FL
Enumeration date
10/25/2005
Last updated
09/12/2024
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