Provider Demographics
NPI:1982646055
Name:EL SHAHAWY, MAHFOUZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHFOUZ
Middle Name:
Last Name:EL SHAHAWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARDIOVASCULAR CENTER OF SARASOTA
Mailing Address - Street 2:1851 ARLINGTON STR., SUITE 206
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-366-9800
Mailing Address - Fax:
Practice Address - Street 1:CARDIOVASCULAR CENTER OF SARASOTA
Practice Address - Street 2:1851 ARLINGTON STR, SUITE 206
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3517
Practice Address - Country:US
Practice Address - Phone:941-366-9800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME20619207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME20619OtherMEDICAL LICENSE
FLME20619OtherMEDICAL LICENSE
FL09173Medicare ID - Type Unspecified
FLME20619OtherMEDICAL LICENSE