Individual
DR. MOHAMED ELSHAZZLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-6500
Mailing address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-6500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP61279697
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/02/2019
Last updated
07/12/2022
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