| Mohamed El-gabalawy, Md Inc | |
|
1111 S Arroyo Pkwy Suite 405 Pasadena CA 91105-3254 | |
| (626) 799-5520 | |
| (626) 799-5570 |
| Full Name | Mohamed El-gabalawy, Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1111 S Arroyo Pkwy, Pasadena, California |
| Authorized Official Name and Position | Mohamed El-gabalawy (PRESIDENT) |
| Authorized Official Contact | 6267995520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed El-gabalawy, Md Inc 1111 S Arroyo Pkwy Suite 405 Pasadena CA 91105-3254 Ph: (626) 799-5520 | Mohamed El-gabalawy, Md Inc 1111 S Arroyo Pkwy Suite 405 Pasadena CA 91105-3254 Ph: (626) 799-5520 |
| NPI Number | 1245410950 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 7517942634 |
|---|---|
| Medicare Enrollment ID | O20040622001699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245410950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | C50305 (California) | Primary |
| Provider Name | Mohamed H El-gabalawy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407967631 PECOS PAC ID: 5698676120 Enrollment ID: I20040117000156 |
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