Provider Demographics
NPI:1538722962
Name:KERSHA, ESLAM FAWZY (DO)
Entity type:Individual
Prefix:DR
First Name:ESLAM
Middle Name:FAWZY
Last Name:KERSHA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4800 S SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2677
Mailing Address - Country:US
Mailing Address - Phone:248-761-0612
Mailing Address - Fax:810-213-0279
Practice Address - Street 1:5111 AUTO CLUB DR STE 101
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2749
Practice Address - Country:US
Practice Address - Phone:810-275-9153
Practice Address - Fax:810-213-0279
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2023-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI51010271992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry