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Amr Samy Mohamed Abdelaziz

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as AMR ABDELAZIZ.

Based on the most recent information from CMS, provider Amr Samy Mohamed Abdelaziz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1568718443
Provider Type
Individual
Full Name
Abdelaziz, Amr Samy Mohamed
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/30/2012
Last Updated
7/11/2022

Contact Information

Practice Location

1 Hospital Dr, Columbia, MO 65212-0001

(573) 884-8299

Unlisted Fax

Mailing Location

PO Box 843966, Kansas City, MO 64184-3966

(573) 882-3974

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2017008779 Missouri
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Amr Samy Mohamed Abdelaziz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

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Code

Description

License

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