Most Relevant Information
Provider Data
| NPI Number: | 1003598806 |
| Provider Name: | RADWA WAGIH MAHMOUD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 08/02/2023 |
Provider Practice Location
1 BROOKDALE PLZ , BROOKLYN, NY 11212-3139
BROOKLYN
NY
112123139
Practice Location Phone/Fax
| Phone: | 7182405000 |
| Fax: |
Provider Mailing Location
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
11212
BROOKLYN
NY
11212
Provider Mailing Phone/Fax
| Phone: | 7182405000 |
| Fax: |