| Doctor Name: | MOHAMED FATHY ELKHOSOUSY |
| NPI Number: | 1003249681 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1600 Rockland Rd Wilmington, DE - 198033607 |
| Business Phone Number: | 3026515925 |
| Business Fax Number: | |
| Mailing Address: | 1603 N Rodney St, WILMINGTON |
| State: | DE |
| Postal Code: | 198063092 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2013 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744R1102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Research Study |
| Taxonomy Definition: | |