Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | BP10076991 | TX |
NPI | 1689009078 |
---|---|
Provider Name | Ahmed Asim Ibrahim El-Moghraby |
First Address | Galveston, TX 77555-0553 |
Second Address | Galveston, TX 77555-4970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2013 |
Last Update Date | 29/06/2021 |