Organization
OBSTETRICS AND GYNECOLOGY AND GYNECOLOGIC ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR Z ABU-GHAZALEH MD (PRESIDENT)
(605) 331-3898
Entity
Organization
Contact information
Practice address
1000 E 21ST ST, SUITE 3000, SIOUX FALLS, SD 57105-1035
(605) 331-3898
(605) 331-3967
Mailing address
1000 E 21ST ST, SUITE 3000, SIOUX FALLS, SD 57105-1035
(605) 331-3898
(605) 331-3967
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
SD2615
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925370
—
IA
05
—
6200290
—
SD
Enumeration date
11/14/2006
Last updated
08/22/2020
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