Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 27637 | KY |
NPI | 1033180757 |
---|---|
Provider Name | Dr. Amr Osman El-Naggar |
First Address | Somerset, KY 42503-8717 |
Second Address | Somerset, KY 42503-2872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000051251 | BCBS PIN # (01) | KY |
64276371 | (05) | KY |
E56520 | (02) | KY |
UMWA | 1508291 (01) | KY |