Basic Information
Provider Information
NPI: 1689831257
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL AROUSY
FirstName: HAZEM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherLastNameType:  
Mailing Information
Address1: 7147 VISTA DR STE 150
Address2:  
City: WEST DES MOINES
State: IA
PostalCode: 502669313
CountryCode: US
TelephoneNumber: 5158759925
FaxNumber: 5158759923
Practice Location
Address1: 5950 UNIVERSITY AVE STE 231
Address2:  
City: WEST DES MOINES
State: IA
PostalCode: 50266
CountryCode: US
TelephoneNumber: 5158759090
FaxNumber: 5158759312
Other Information
ProviderEnumerationDate: 05/20/2008
LastUpdateDate: 06/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300XME107623FLN Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
208600000XMT188847PAN Allopathic & Osteopathic PhysiciansSurgery 
2086S0129XMD-44080IAY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


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