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1952975518

NPI Code Detail

MEDICARE: AHMED SALAMA HUSSEIN MOHAM ELSAKKA MD

MEDICARE: AHMED SALAMA HUSSEIN MOHAM ELSAKKA 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
1	2085R0202X	Diagnostic Radiology Physician	036169180	IL
2	2085R0204X	Vascular & Interventional Radiology Physician	036.169180	IL
3	207U00000X	Nuclear Medicine Physician	325229-01	NY

General Provider Information

NPI Number	:	1952975518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMED SALAMA HUSSEIN MOHAM ELSAKKA MD

Provider Business Mailing Address
First Line	:	8156 DANIEL DR
Second Line	:
City	:	JUSTICE
State	:	IL
Zip	:	60458-1691
Country	:	US
Telephone Number	:	201-675-7430
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 SEAVIEW AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3436
Country	:	US
Telephone Number	:	718-226-1784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2021
Last Update Date	:	12/18/2025

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Directions to “ AHMED SALAMA HUSSEIN MOHAM ELSAKKA MD” Practice Location

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