Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nataly A. Ghanem, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700223799

Dr. Nataly A. Ghanem, MD is a Student in an Organized Health Care Education/Training Program in Elk Grove, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8170 Laguna Blvd 210
Elk Grove, CA 95758-7901
Phone: (916) 691-5999
Fax: (916) 691-5940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A133197 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700223799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2013
Last updated in NPPESAugust 11, 2016

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