Individual
MINA MAHER SOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718-3328
(302) 623-0188
(302) 733-5640
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0025021
DE
Other
Enumeration date
08/20/2019
Last updated
06/17/2022
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