Hatem Mohammed Elhagaly, MD | |
404 W Fountain St, Albert Lea, MN 56007-2437 | |
(507) 373-2384 | |
Not Available |
Full Name | Hatem Mohammed Elhagaly |
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Gender | Male |
Speciality | Pediatrics |
Location | 404 W Fountain St, Albert Lea, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063491496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 43912 (Minnesota) | Primary |
Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
Mailing Address | Practice Location Address |
---|---|
Hatem Mohammed Elhagaly, MD 81619 130th St, Glenville, MN 56036-4186 Ph: (507) 448-0195 | Hatem Mohammed Elhagaly, MD 404 W Fountain St, Albert Lea, MN 56007-2437 Ph: (507) 373-2384 |
Elizabeth Ojukwu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Dr. Ayokunle Oluwaseun Olubaniyi, MB;BS Pediatrics Medicare: Medicare Enrolled Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 Fax: 507-377-6784 | |
Lowell Wherry Barr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 203 W Clark, Albert Lea, MN 56007 Phone: 507-377-5440 | |
Dr. Ying Wang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 212-423-7834 |