Provider Demographics
NPI:1073504734
Name:EL-DROUBI, HAZEM (MD)
Entity Type:Individual
Prefix:DR
First Name:HAZEM
Middle Name:
Last Name:EL-DROUBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-5203
Mailing Address - Country:US
Mailing Address - Phone:910-997-5055
Mailing Address - Fax:910-997-5096
Practice Address - Street 1:111 MALLARD LN
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5203
Practice Address - Country:US
Practice Address - Phone:910-997-5055
Practice Address - Fax:910-997-5096
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22392208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8930324Medicaid
NC8930324Medicaid
NCC81033Medicare UPIN