El-Deiry, Mark William

El-Deiry, Mark William is an individual health care provider with primary practice located at The Emory Clinic 1365 A Clifton Rd Ne, Atlanta GA 30322-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. El-Deiry, Mark William can be contacted via phone (404) 778-5329.

Contact Information

Primary practice address
The Emory Clinic 1365 A Clifton Rd Ne Atlanta GA 30322-0001
Phone: (404) 778-5329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME 98348 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 66483 Georgia

Profile Details

NPI number 1093752719
LBN Legal business name El-Deiry, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 25th, 2011 - about 15 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 1093752719 NPPES
Florida Other 96608 BLUE CROSS BLUE SHIELD
Florida MEDICAID 278414900 BLUE CROSS BLUE SHIELD

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