Provider Demographics
NPI:1619163300
Name:ASHRAF EL-SHALAKANY MD PA
Entity Type:Organization
Organization Name:ASHRAF EL-SHALAKANY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-SHALAKANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-340-5178
Mailing Address - Street 1:PO BOX 8314
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-8314
Mailing Address - Country:US
Mailing Address - Phone:954-340-5178
Mailing Address - Fax:954-340-6732
Practice Address - Street 1:2855 N UNIVERSITY DR
Practice Address - Street 2:SUITE 420
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1405
Practice Address - Country:US
Practice Address - Phone:954-340-5178
Practice Address - Fax:954-340-6732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 87739207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty