Individual
DR. MAGDY B MIGALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5212 BRANDT PIKE, SUITE A, HUBER HEIGHTS, OH 45424-6138
(937) 233-0748
(937) 233-6086
Mailing address
5212 BRANDT PIKE, SUITE A, HUBER HEIGHTS, OH 45424-6138
(937) 233-0748
(937) 233-6086
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-04-3565-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011389
ANTHEM PIN-U
OH
01
—
000000011390
ANTHEM PIN-C
OH
01
—
000000066851
ANTHEM PIN-L
OH
01
—
0470022
PTAN
OH
01
—
0470024
PTAN
OH
01
—
0470029
PTAN
OH
01
—
0735331
PTAN
OH
Enumeration date
09/21/2005
Last updated
10/05/2009
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