Provider Demographics
NPI:1467063461
Name:ELAKABAWY, AHMED
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ELAKABAWY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2574
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13A EXIT14 MALL
Practice Address - Street 2:SHEIKH ZAYED CITY
Practice Address - City:GIZA
Practice Address - State:6TH OF OCTOBER
Practice Address - Zip Code:3246020
Practice Address - Country:EG
Practice Address - Phone:571-522-0910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist