| Magdi Elsaadi M.d. A Professional Medical Corporation | |
|
1738 N Waterman Ave Ste 7 San Bernardino CA 92404-5131 | |
| (909) 557-0135 | |
| Not Available |
| Full Name | Magdi Elsaadi M.d. A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1738 N Waterman Ave Ste 7, San Bernardino, California |
| Authorized Official Name and Position | Magdi Elsaadi (OWNER) |
| Authorized Official Contact | 9095570135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magdi Elsaadi M.d. A Professional Medical Corporation 1738 N Waterman Ave Ste 7 San Bernardino CA 92404-5131 Ph: (909) 557-0135 | Magdi Elsaadi M.d. A Professional Medical Corporation 1738 N Waterman Ave Ste 7 San Bernardino CA 92404-5131 Ph: (909) 557-0135 |
| NPI Number | 1194369553 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 9537593546 |
|---|---|
| Medicare Enrollment ID | O20191230000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194369553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Magdi S Elsaadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902876683 PECOS PAC ID: 4082787551 Enrollment ID: I20080716000293 |
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