Provider Demographics
NPI:1982922993
Name:EL-ZUHERY, HOSSAM
Entity type:Individual
Prefix:MR
First Name:HOSSAM
Middle Name:
Last Name:EL-ZUHERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5646 N PALM AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1848
Mailing Address - Country:US
Mailing Address - Phone:559-431-6626
Mailing Address - Fax:
Practice Address - Street 1:5646 N PALM AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1848
Practice Address - Country:US
Practice Address - Phone:559-431-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59282122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist