Request Form for Clinical Attachment To:

Prof. M. Z. Helal, M.D.

Professor of Rhinology & Skull Base Surgery, Ain Shams University, Cairo, Egypt

*Department of Oto-Rhino-Laryngology, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt.

   

 

 

Please complete the following form .
 

   

First Name *

Last Name *

Department/Position* 

Organization *

Street Address *

City *

Country *
Zip Code

Phone *

Web Site

E-mail *

 

 

Special Requests
   

 

URL (Web Site)    : http://www.mzhelal.com

            : mzhelal@mzhelal.com
 1 Cell (Mobile) Phone: +20-10-1130977

Office Address:    28 Othman Ibn Afan Str., Heliopolis, Cairo 11361, Egypt.

                     Tel.: +20-2-22412942         Fax: +20-2-22412942

Home address:    Villa No. 9, 1ST Zone, 3RD District, 5TH Settlement, New Cairo, Egypt.
                    Tel.: +20-2-26174452         Fax: +20-2-26174452
      PO Box:    7037, Cairo 11471, Egypt.