Provider Demographics
NPI:1497405674
Name:ELHAGAGY, MAHMOUD ABDELMONIEM (MD, DO)
Entity Type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:ABDELMONIEM
Last Name:ELHAGAGY
Suffix:
Gender:M
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 ALBERT SABIN WAY DIVISION OF UROLOGY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0589
Mailing Address - Country:US
Mailing Address - Phone:513-558-3678
Mailing Address - Fax:513-558-3575
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-558-3678
Practice Address - Fax:513-558-3575
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program