Provider Demographics
NPI:1467477463
Name:ELSHIHABI, SAID (MD)
Entity Type:Individual
Prefix:DR
First Name:SAID
Middle Name:
Last Name:ELSHIHABI
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 1:1900 THE EXCHANGE SE STE 200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2022
Mailing Address - Country:US
Mailing Address - Phone:770-291-8987
Mailing Address - Fax:770-291-8987
Practice Address - Street 1:718 CHEROKEE ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7253
Practice Address - Country:US
Practice Address - Phone:770-291-8987
Practice Address - Fax:770-291-8987
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060369207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA060369OtherLICENSE
SCN14006Medicaid
P00403027OtherRAILROAD MEDICARE
NC5904824Medicaid
I58731Medicare UPIN
GA060369OtherLICENSE
NC5904824Medicaid