Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 81272 | MA |
NPI | 1033189089 |
---|---|
Provider Name | Dr. Eman Elkadry |
First Address | Cambridge, MA 02138-1040 |
Second Address | Cambridge, MA 02138-1040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3176908 | (05) | MA |
G66489 | (02) | MA |