Provider Demographics
NPI:1043789423
Name:AHMED ELEBIARY MD
Entity Type:Organization
Organization Name:AHMED ELEBIARY MD
Other - Org Name:AHMED ELEBIARY MD, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEBIARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-705-9500
Mailing Address - Street 1:3114 PATRICK HENRY DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-1823
Mailing Address - Country:US
Mailing Address - Phone:703-705-9500
Mailing Address - Fax:571-685-2016
Practice Address - Street 1:900 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-3200
Practice Address - Country:US
Practice Address - Phone:703-705-9500
Practice Address - Fax:571-685-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty