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General NPI Number Information
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NPI Number | 1952975518
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Entity Type | Individual
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Provider Name | AHMED ELSAKKA MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone | 718-226-1784
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Fax |
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Provider Business Mailing Address
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Address Line | 8156 DANIEL DR
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City | JUSTICE
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State | IL
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Zip | 60458-1691
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Country | US
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Telephone | 201-675-7430
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036.169180
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 325229-01
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License Number State | NY
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