Provider Demographics
NPI:1821437427
Name:GHONIMY, MOHAMED ELSAYED MAHMOUD (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:ELSAYED MAHMOUD
Last Name:GHONIMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 36TH STREET VERO BEACH STREET
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:216-442-4836
Mailing Address - Fax:216-636-6063
Practice Address - Street 1:1000 36TH STREET VERO BEACH STREET
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:216-442-4836
Practice Address - Fax:216-636-6063
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL157054208M00000X
MI4301111647208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist