Provider Demographics
NPI:1053643700
Name:ELNAGGAR, MOHAMED (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:
Last Name:ELNAGGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3605 LONG BEACH BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4026
Mailing Address - Country:US
Mailing Address - Phone:134-754-3670
Mailing Address - Fax:562-424-8006
Practice Address - Street 1:3605 LONG BEACH BLVD STE 405
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4026
Practice Address - Country:US
Practice Address - Phone:347-543-6703
Practice Address - Fax:562-424-8006
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA135253207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine