Provider Demographics
NPI:1790732378
Name:ELKORDY, MAHA A (MD)
Entity Type:Individual
Prefix:
First Name:MAHA
Middle Name:A
Last Name:ELKORDY
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 60106
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0106
Mailing Address - Country:US
Mailing Address - Phone:919-854-6900
Mailing Address - Fax:
Practice Address - Street 1:216 ASHVILLE AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6679
Practice Address - Country:US
Practice Address - Phone:919-854-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38478207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891087AMedicaid
NC2155928FMedicare ID - Type Unspecified
NC891087AMedicaid