Provider Demographics
NPI:1174641989
Name:ELKAYAM, ASHER PROSPER (NBC-HIS)
Entity Type:Individual
Prefix:MR
First Name:ASHER
Middle Name:PROSPER
Last Name:ELKAYAM
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GLYNDON DR
Mailing Address - Street 2:SUITE 2-H
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-2000
Mailing Address - Country:US
Mailing Address - Phone:410-833-7470
Mailing Address - Fax:
Practice Address - Street 1:4 GLYNDON DR
Practice Address - Street 2:SUITE 2-H
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-2000
Practice Address - Country:US
Practice Address - Phone:410-833-7470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1520237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDL-264OtherHEARING AIDS