Mohamad Elgozair

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Danbury, CT

NPI 1295595007 · NPPES record last updated Mar 20, 2024

Key facts

NPI
1295595007
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
24 Hospital Ave
Danbury, CT 06810-6099
Phone
(507) 271-3224
NPI assigned
Mar 20, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

24 Hospital Ave
Danbury, CT 06810-6099

Mailing address

802 1St St SW Apt 9
Rochester, MN 55902-0328

Other providers in Danbury, CT

All providers in Danbury, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.