Provider Demographics
NPI:1265113732
Name:ELGAMAL, AHMED ELSAYED E M A (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:ELSAYED E M A
Last Name:ELGAMAL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:WUSM PEDS, 1 CHILDRENS PL, MSC 8116-0043-14
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-454-2694
Mailing Address - Fax:314-454-2515
Practice Address - Street 1:WUSM PEDS, 1 CHILDRENS PL, MSC 8116-0043-14
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-454-2694
Practice Address - Fax:314-454-2515
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2023019695208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics