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Individual

ESLAM GALAL KHALIFA ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-0800
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
139747
DC
207R00000X
Internal Medicine Physician
2012-00912
NC
207RG0100X
Gastroenterology Physician
Primary
2012-00912
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171FE
BCBS
NC
05
5922234
NC
01
P01118979
RAILROAD MEDICARE
NC
Enumeration date
05/30/2008
Last updated
01/13/2022
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