Healthcare Provider Details

I. General information

NPI: 1497692354
Provider Name (Legal Business Name): MAHA SALAMA AHMED ELMAGHRABI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAHA SALAMA ADAM AHMED

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 26TH AVE E
BRADENTON FL
34208-7753
US

IV. Provider business mailing address

13120 BLISS LOOP
BRADENTON FL
34211-4071
US

V. Phone/Fax

Practice location:
  • Phone: 941-782-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number44546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: