Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 7809A | WY |
Y | 207RH0003X | Hematology & Oncology | 7809A | WY |
N | 207RH0003X | Hematology & Oncology | MD23076 | OR |
NPI | 1467418905 |
---|---|
Provider Name | Mohamed El-Sayed El-Tarabily |
First Address | Cheyenne, WY 82001-3126 |
Second Address | Cheyenne, WY 82001-3126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 04/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
287418 | (05) | OR |
H47490 | (02) |