Provider Demographics
NPI:1548210305
Name:ELHOUSHY, ABDEL H (MD)
Entity Type:Individual
Prefix:
First Name:ABDEL
Middle Name:H
Last Name:ELHOUSHY
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 1:6600 UNIVERSITY PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-9040
Mailing Address - Country:US
Mailing Address - Phone:941-800-2873
Mailing Address - Fax:941-313-7351
Practice Address - Street 1:6600 UNIVERSITY PKWY SUITE 104
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-9040
Practice Address - Country:US
Practice Address - Phone:418-002-8719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35047207L00000X
FLME88279207L00000X, 207LP2900X
OH35080939207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268217600Medicaid
FL71998OtherBCBS FL
FL71998YMedicare PIN
FLP00122437Medicare PIN
FL71998SMedicare PIN
FL71998VMedicare PIN
FL268217600Medicaid
FL71998TMedicare PIN
FLP00341323Medicare PIN
FL71998UMedicare PIN
H93243Medicare UPIN
FL71998OtherBCBS FL