Individual
AHMED ELGENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 ROLLINS RD APT 101, BURLINGAME, CA 94010-2511
(650) 669-4559
Mailing address
1055 ROLLINS RD APT 101, BURLINGAME, CA 94010-2511
(650) 669-4559
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D2150502
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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