NPI 1013390434

Mohamed Moneeb Abdellatif Azab, MD

Practitioner Gastroenterology Physician Green Bay, WI

Practice location

Address: 1726 Shawano Ave, Green Bay, WI 54303-3216
Phone: (920) 496-4700

Registered specialties (2)

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence 75068-20 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013390434
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2015
Record last updated: 11 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.