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NPI Code Detail

MEDICARE: OMAR MOHAMED EL KAWKGI MD

MEDICARE: OMAR MOHAMED EL KAWKGI 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician63349MN
2207RE0101XEndocrinology, Diabetes & Metabolism Physician60328KY
3207RE0101XEndocrinology, Diabetes & Metabolism Physician74717WI

General Provider Information

NPI Number : 1184009631
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMAR MOHAMED EL KAWKGI MD
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-2232
Fax Number : 859-257-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 02/04/2026

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