NPI Search for Physicians and Health Care Providers
DR. MOHAMED IBRAHIM ALI ELTOUM M.D.
Sleep Medicine >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1598794026
Individual Registrant:
DR. MOHAMED IBRAHIM ALI ELTOUM M.D.
Gender: M
Sole Proprietor
Location and contact information for practice:
5454 CENTRAL AVE SUITE A SAINT PETERSBURG, FL 33707-6129 US
Tel: 727-347-5242 Fax: 727-347-2402
Contact information for business:
5454 CENTRAL AVE SUITE A SAINT PETERSBURG, FL 33707-6117 US
Tel: 727-347-5242 Fax: 727-347-2402
Registration Information:
NPI: 1598794026
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 207RS0012X | Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine | FL | ME100366 |
Y | 207RP1001X | Allopathic & Osteopathic Physicians Internal Medicine | FL | ME100366 |
N | 207RC0200X | Allopathic & Osteopathic Physicians Internal Medicine | FL | ME100366 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 000929000 | FL | 05 |
GROUP TAX ID | 263769693 | FL | 01 |
MEDICARE GROUP | BJ846 | FL | 01 |
HEALTH CARE JOBS FL - Page 1