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NPI Code Detail

MEDICARE: AHMED SALAMA HUSSEIN MOHAM ELSAKKA MD

MEDICARE: AHMED SALAMA HUSSEIN MOHAM ELSAKKA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician036169180IL
22085R0204XVascular & Interventional Radiology Physician036.169180IL
3207U00000XNuclear Medicine Physician325229-01NY

General Provider Information

NPI Number : 1952975518
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMED SALAMA HUSSEIN MOHAM ELSAKKA MD
Provider Business Mailing Address
First Line : 8156 DANIEL DR
Second Line :
City : JUSTICE
State : IL
Zip : 60458-1691
Country : US
Telephone Number : 201-675-7430
Fax Number :
Provider Business Practice Location Address
First Line : 475 SEAVIEW AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3436
Country : US
Telephone Number : 718-226-1784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2021
Last Update Date : 02/02/2026

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