Provider Demographics
NPI:1851886055
Name:ELMASSRY, MOHAMED ABDELGHANY MOHAMED A (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:ABDELGHANY MOHAMED A
Last Name:ELMASSRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2600 N WOODLAWN BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-2729
Mailing Address - Country:US
Mailing Address - Phone:316-260-1690
Mailing Address - Fax:316-260-1691
Practice Address - Street 1:2600 N WOODLAWN BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-2729
Practice Address - Country:US
Practice Address - Phone:316-260-1690
Practice Address - Fax:316-260-1691
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2025-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-50094207RI0011X
OH57.256566207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology