Provider Demographics
NPI:1396205472
Name:ELNIGOMY, SHEIKAN IZZELDIEN AHMED (MD)
Entity Type:Individual
Prefix:
First Name:SHEIKAN
Middle Name:IZZELDIEN AHMED
Last Name:ELNIGOMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW STE 5-403
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-677-6056
Mailing Address - Fax:202-741-2788
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW STE 5-403
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-677-6056
Practice Address - Fax:202-741-2788
Is Sole Proprietor?:No
Enumeration Date:2019-03-23
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101275388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine