Provider Demographics
NPI:1609162908
Name:EL-BAKUSH, AMAL SADEG (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAL
Middle Name:SADEG
Last Name:EL-BAKUSH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3601 4TH STREET,
Mailing Address - Street 2:MS 9410
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-9410
Mailing Address - Country:US
Mailing Address - Phone:806-743-3155
Mailing Address - Fax:806-743-3143
Practice Address - Street 1:MERCY PULMONOLOGY CLINIC
Practice Address - Street 2:788 8TH AVENUE, SUITE 200
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401
Practice Address - Country:US
Practice Address - Phone:319-221-8788
Practice Address - Fax:319-221-8787
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2021-10-07
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Provider Licenses
StateLicense IDTaxonomies
IAMD-44420207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease