Provider Demographics
NPI:1326572108
Name:ELHALWAGI, RAMY BAHER (DO)
Entity Type:Individual
Prefix:
First Name:RAMY
Middle Name:BAHER
Last Name:ELHALWAGI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 SHILOH RD STE 4100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7266
Mailing Address - Country:US
Mailing Address - Phone:469-209-9798
Mailing Address - Fax:
Practice Address - Street 1:525 SHILOH RD STE 4100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7266
Practice Address - Country:US
Practice Address - Phone:469-209-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS7043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine