Provider Demographics
NPI:1154310746
Name:ALMASRY, INAS O (MD)
Entity Type:Individual
Prefix:MRS
First Name:INAS
Middle Name:O
Last Name:ALMASRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LEDGE HILL ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3514
Mailing Address - Country:US
Mailing Address - Phone:857-810-0200
Mailing Address - Fax:857-810-0200
Practice Address - Street 1:255 PARK AVE STE 800
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1984
Practice Address - Country:US
Practice Address - Phone:857-810-0200
Practice Address - Fax:857-810-0200
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036105675207R00000X, 207RN0300X
MA234023207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1002112Medicaid
ILI09775Medicare UPIN