Healthcare Provider Details

I. General information

NPI: 1306409057
Provider Name (Legal Business Name): EMAN AHMED EL SAWALHY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HARRINGTON ST
MOUNT CLEMENS MI
48043-2920
US

IV. Provider business mailing address

1000 HARRINGTON ST
MOUNT CLEMENS MI
48043-2920
US

V. Phone/Fax

Practice location:
  • Phone: 586-493-8000
  • Fax:
Mailing address:
  • Phone: 586-493-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301515131
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number4301515131
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number4301515131
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5315260891
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: