Individual
HESHAM HEGAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 S SHORE DR, ELKHART, IN 46516-2017
(475) 350-0010
(574) 970-0940
Mailing address
150 S SHORE DR, ELKHART, IN 46516-2017
(475) 350-0010
(574) 970-0940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02242762
—
NY
Enumeration date
05/01/2008
Last updated
02/01/2016
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