Provider Demographics
NPI:1750822706
Name:ELFADIL, NAGI ABDALLAMOHAMEDEL (MD)
Entity Type:Individual
Prefix:MR
First Name:NAGI
Middle Name:ABDALLAMOHAMEDEL
Last Name:ELFADIL
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 1:5480 S VALDAI ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6524
Mailing Address - Country:US
Mailing Address - Phone:720-505-8201
Mailing Address - Fax:720-505-8201
Practice Address - Street 1:5480 S VALDAI ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6524
Practice Address - Country:US
Practice Address - Phone:720-505-8201
Practice Address - Fax:720-505-8201
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20161779917171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor