1871296921 NPI number — AHMED REDA EL HUSSEINY ALI EL SABAGH M.B.B.CH

Table of content: AHMED REDA EL HUSSEINY ALI EL SABAGH M.B.B.CH (NPI 1871296921)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871296921 NPI number — AHMED REDA EL HUSSEINY ALI EL SABAGH M.B.B.CH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EL SABAGH
Provider First Name:
AHMED
Provider Middle Name:
REDA EL HUSSEINY ALI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.CH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871296921
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 IRVING ST. NW
Provider Second Line Business Mailing Address:
DEPT OF INTERNAL MEDICINE
Provider Business Mailing Address City Name:
WASHINGTON, DC
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-877-2835
Provider Business Mailing Address Fax Number:
202-877-8288

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 IRVING ST NW DEPT OF
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20010-3017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-877-2835
Provider Business Practice Location Address Fax Number:
202-877-8288
Provider Enumeration Date:
03/27/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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