Individual provider · Type 1 NPI

Ahmed Mohamed Abouelazaem, MD

Student in an Organized Health Care Education/Training Program · Brighton, MA

NPI number 1639969306 Active · reactivated Apr 2, 2026

Practice location

11 Nevins Street, Medical Office Building (mob), 3rd Floor - Room 304
Brighton, MA 02135

Call (617) 789-2386 Map

Mailing address

Villa Number 3, Block 6/15, West Somid, 6th Of October
Giza, EGYPT 12566

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 1639969306

Ahmed Mohamed Abouelazaem, MD's National Provider Identifier is 1639969306, issued on May 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brighton, MA. The record was last updated on Apr 2, 2026.