Male or Other

Dr. Ahmed Eldessouky MD

Pediatrics Physician in Jackson, MI(View on Map)

Full Name

Dr. Ahmed Eldessouky MD

NPI Number

1528629946

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/26/2019

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4301507856

Contact
Information

Purpose

Mailing
Location

Address

505 N JACKSON ST
505 N JACKSON ST

City

Jackson
Jackson

State

MI
MI

Postal Code

49201-1266
49201-1266

Country

US
US

Telephone Number

(517) 748-5500
(517) 748-5500

Identifiers

Identifier

4351044319

Identifier State

MI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/03/2023

Provider Address

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