Provider Demographics
NPI:1669595971
Name:ELDESOUKI, ENAS AHMED IBRAHIM II (MBBCH, MSC)
Entity type:Individual
Prefix:DR
First Name:ENAS
Middle Name:AHMED IBRAHIM
Last Name:ELDESOUKI
Suffix:II
Gender:F
Credentials:MBBCH, MSC
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Mailing Address - Street 1:5722 FIELD BROOK DR
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2507
Mailing Address - Country:US
Mailing Address - Phone:716-200-9770
Mailing Address - Fax:716-639-2129
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1129
Practice Address - Country:US
Practice Address - Phone:716-862-3145
Practice Address - Fax:716-862-8779
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY242085207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology