Individual provider · Type 1 NPI

Mariam Basem Elghazzawy, MD

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1194668574 Active

Practice location

900 University Ave Bldg II
Riverside, CA 92521-9800

Call (951) 827-4618 Map

Fax (951) 263-7238

Mailing address

15607 Clark Ave
Bellflower, CA 90706-3576

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194668574

Mariam Basem Elghazzawy, MD's National Provider Identifier is 1194668574, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Apr 10, 2026.