Provider Demographics
NPI:1720195605
Name:ELZIND, ELHAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:ELHAM
Middle Name:H
Last Name:ELZIND
Suffix:
Gender:F
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:PO BOX 98978
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-8978
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:9260 W SUNSET RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4903
Practice Address - Country:US
Practice Address - Phone:702-216-3346
Practice Address - Fax:702-671-6883
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19502207V00000X
FLME0075058207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2198250OtherAETNA HMO
FL254318400Medicaid
42756OtherBLUECROSS/ BLUESHIELD
60077OtherPARITY
026876OtherNEIGHBORHOOD
244626OtherAVMED
5358650OtherAETNA PPO
6503052028OtherBEACON
FL223712OtherAMERIGROUP
026876OtherNEIGHBORHOOD
60077OtherPARITY