Provider Demographics
NPI:1548442684
Name:ALMEKY, ESSAM M (MD)
Entity type:Individual
Prefix:DR
First Name:ESSAM
Middle Name:M
Last Name:ALMEKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:223 FIELD RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SHAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18708-9406
Mailing Address - Country:US
Mailing Address - Phone:157-070-4710
Mailing Address - Fax:
Practice Address - Street 1:176 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SHAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18708-1121
Practice Address - Country:US
Practice Address - Phone:570-675-0900
Practice Address - Fax:570-674-8912
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA89989218207QB0002X
WI50946207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD446212OtherFAMILY MEDICINE
WI50946OtherLICENSE