Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35091805 | OH |
Y | 207RI0011X | Interventional Cardiology | 35091805 | OH |
NPI | 1033365523 |
---|---|
Provider Name | Dr. Ehab Ahmed Eltahawy |
First Address | Toledo, OH 43615-4040 |
Second Address | Toledo, OH 43614-2595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 12/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2909222 | (05) | OH |
35091805 | LICENSE (01) | OH |
4301075022 | LICENSE (01) | MI |