Healthcare Provider Details
I. General information
NPI: 1952221020
Provider Name (Legal Business Name): AYA SHEBL ELSEHIMY ELNAGGAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 UNIVERSITY BLVD
GALVESTON TX
77555-0534
US
IV. Provider business mailing address
301 UNIVERSITY BLVD
GALVESTON TX
77555-0354
US
V. Phone/Fax
- Phone: 409-747-0534
- Fax:
- Phone: 409-747-0534
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | BP10098499 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: