Abdel Moutagaly, Rizk M

Abdel Moutagaly, Rizk M is an sole proprietor health care provider with primary practice located at 715 Gandy St , Russellville AL 35653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Abdel Moutagaly, Rizk M can be contacted via phone (256) 332-1175.

Contact Information

Primary practice address
715 Gandy St Russellville AL 35653
Phone: (256) 332-1175
Fax: (256) 332-1171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22718 Alabama
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22718 Alabama

Profile Details

NPI number 1528021474
LBN Legal business name Abdel Moutagaly, Rizk M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Feb 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528021474 NPPES
Alabama Other 51021621 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 000021621 BLUE CROSS BLUE SHIELD

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