Provider Demographics
NPI:1710278155
Name:ELIAS ASHAME MD PLLC
Entity Type:Organization
Organization Name:ELIAS ASHAME MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:ASHAME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:980-329-3495
Mailing Address - Street 1:PO BOX 1677
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-1677
Mailing Address - Country:US
Mailing Address - Phone:980-329-3495
Mailing Address - Fax:
Practice Address - Street 1:5306 MILLSTONE CT
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-7528
Practice Address - Country:US
Practice Address - Phone:980-329-3495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01064252A208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty