Provider Demographics
NPI:1437318730
Name:ELDARAWY, WAEL ZAKARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:WAEL
Middle Name:ZAKARIA
Last Name:ELDARAWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 BIRCHWOOD PARK DR
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2307
Mailing Address - Country:US
Mailing Address - Phone:516-939-0597
Mailing Address - Fax:
Practice Address - Street 1:753 CLASSON AVE
Practice Address - Street 2:GASTROENTEROLOGIST
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4647
Practice Address - Country:US
Practice Address - Phone:718-636-1270
Practice Address - Fax:374-892-2716
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245326207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology