Provider Demographics
NPI:1528373529
Name:ELGERGAWY, DAWOOD SOLIMAN (MD)
Entity Type:Individual
Prefix:
First Name:DAWOOD
Middle Name:SOLIMAN
Last Name:ELGERGAWY
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 1:501 6TH ST APT 8K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3666
Mailing Address - Country:US
Mailing Address - Phone:863-521-9585
Mailing Address - Fax:
Practice Address - Street 1:501 6TH ST APT 8K
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3666
Practice Address - Country:US
Practice Address - Phone:863-521-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-01335207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine