Organization
ALPHA RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM A ELKOMY MD (OWNER)
(850) 785-3749
Entity
Organization
Contact information
Practice address
1304 HARRISON AVE, PANAMA CITY, FL 32401-2435
(850) 785-3749
(850) 785-0409
Mailing address
1304 HARRISON AVE, PANAMA CITY, FL 32401-2435
(850) 785-3749
(850) 785-0409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0039163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39834
BCBS FLORIDA
FL
Enumeration date
11/28/2007
Last updated
11/28/2007
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