Provider Demographics
NPI:1346897386
Name:ELGAALI, MAGDELDIN A
Entity Type:Individual
Prefix:MR
First Name:MAGDELDIN
Middle Name:A
Last Name:ELGAALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14419 ELDERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3730
Mailing Address - Country:US
Mailing Address - Phone:216-507-5324
Mailing Address - Fax:
Practice Address - Street 1:14417 ELDERWOOD AVE
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3730
Practice Address - Country:US
Practice Address - Phone:216-507-5324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver