Individual
MR. HAITHAM M ELSAMALOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5757 PARK CENTER CT., TOLEDO, OH 43615
(419) 474-4064
(419) 472-2772
Mailing address
5757 PARK CENTER CT., TOLEDO, OH 43615
(419) 474-4064
(419) 472-2772
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
35072581
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35072581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185657
—
OH
Enumeration date
08/26/2005
Last updated
08/13/2020
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