Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101253295 | VA |
N | 207Q00000X | Family Doctor | A120760 | CA |
Y | 207Q00000X | Family Doctor | ME96079 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 0101253295 | VA |
NPI | 1295887636 |
---|---|
Provider Name | Dr. Marwa Ali El-Menshawi |
First Address | Oviedo, FL 32766-8656 |
Second Address | Orlando, FL 32806-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 27/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024262100 | (05) | FL |