Individual
MOSTAFA MOHAMED ABDELRHMAN ELBANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-1543
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-1543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1021461
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2022
Last updated
05/01/2025
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