Provider Demographics
NPI:1477748259
Name:ELMAGHRABI, AYAH YOUSIF (MD)
Entity Type:Individual
Prefix:DR
First Name:AYAH
Middle Name:YOUSIF
Last Name:ELMAGHRABI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AYAH
Other - Middle Name:YOUSIF
Other - Last Name:OSMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,FAAP
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:434-295-1000
Mailing Address - Fax:
Practice Address - Street 1:1204 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2824
Practice Address - Country:US
Practice Address - Phone:434-924-2096
Practice Address - Fax:434-924-3300
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ290092080P0210X, 208000000X
VT042-00149222080P0210X
VA01012527272080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ938235Medicaid
AZZ189232Medicare PIN