Individual
MOHAMED E ELDALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 E TUOLUMNE RD, 103, TURLOCK, CA 95382-1548
(209) 669-8300
(209) 669-9300
Mailing address
6121 N THESTA ST, 204, FRESNO, CA 93710-8603
(559) 438-7390
(559) 438-7166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75069
MA
207RH0003X
Hematology & Oncology Physician
Primary
C52285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C522850
BLUE SHIELD
CA
05
—
00C522850
—
CA
05
—
GR0103970
—
CA
Enumeration date
09/21/2006
Last updated
06/02/2008
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