Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 30.026292 | OH |
N | 213EG0000X | General Practice | 30.026292 | OH |
Y | 1223P0221X | Pediatric Dentist | 30.026292 | OH |
NPI | 1073008959 |
---|---|
Provider Name | Marwa Aly Abdelhamid Abdelrahman |
First Address | Washington, DC 20001-4353 |
Second Address | Beavercreek, OH 45431-4200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2018 |
Last Update Date | 13/08/2020 |