Individual
OMAR MOHAMED ELSHAZLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
288883
MA
2086S0129X
Vascular Surgery Physician
Primary
97337
GA
390200000X
Student in an Organized Health Care Education/Training Program
4301113197
MI
Other
Enumeration date
08/30/2015
Last updated
10/10/2023
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