Individual provider · NPI-1

Mahmoud Rateb Mosa Abu Zahra

Pediatrics, Pediatric Pulmonology · Bronx, NY

NPI number1912630104
StatusActive
Last updated in NPPESJun 23, 2025

Details

NPI
1912630104
Entity type
Individual (NPI-1)
Name
Mahmoud Rateb Mosa Abu Zahra
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 5, 2022
Certification date
Jun 23, 2025
Last updated
Jun 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0214X Pediatrics, Pediatric Pulmonology337534NYYes
208000000X Pediatrics337534NY

Practice location

111 E 210th St
Bronx, NY 10467-2401

Phone 718-515-2330 · Fax 718-515-2608

Mailing address

111 E 210th St
Bronx, NY 10467-2401

Phone 718-515-2330 · Fax 718-515-2608

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