Individual
FUAD ELHUSAIN ELNEGRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 MONROE ST, SYLVANIA, OH 43560-2767
(567) 585-0090
(567) 585-0093
Mailing address
5700 MONROE ST, SYLVANIA, OH 43560-2767
(567) 585-0090
(567) 585-0093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301081259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358917
ANTHEM
MI
01
—
04524
PARAMOUNT
MI
01
—
080E810120
BCBS MI
MI
01
—
24-55053
UHC
MI
05
—
2487732
—
OH
05
—
4669613
—
MI
01
—
7736618
AETNA
MI
01
—
P00168588
RRMC
MI
Enumeration date
07/20/2005
Last updated
11/03/2023
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