Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301083769 | MI |
NPI | 1124350707 |
---|---|
Provider Name | Shehab M Elshazly |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2010 |
Last Update Date | 05/02/2010 |