Elrakhawy, Ahmed Tarek

Elrakhawy, Ahmed Tarek is an individual health care provider with primary practice located at 1818 E Windsor Rd , Urbana IL 61802-9566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Elrakhawy, Ahmed Tarek can be contacted via phone (217) 255-9646.

Contact Information

Primary practice address
1818 E Windsor Rd Urbana IL 61802-9566
Fax: (217) 326-1777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036107788 Illinois

Profile Details

NPI number 1306838503
LBN Legal business name Elrakhawy, Ahmed Tarek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 29th, 2021 - about 4 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 1306838503 NPPES
Illinois MEDICAID 036107788
Illinois Other 110244768
Illinois Other 510814

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