Provider Demographics
NPI:1851559041
Name:EINAV, ELDAD URI (MD)
Entity Type:Individual
Prefix:
First Name:ELDAD
Middle Name:URI
Last Name:EINAV
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 1:2557 IVANHOE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-3212
Mailing Address - Country:US
Mailing Address - Phone:917-346-0368
Mailing Address - Fax:310-707-1423
Practice Address - Street 1:435 N BEDFORD DR STE 6A
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4321
Practice Address - Country:US
Practice Address - Phone:091-734-6036
Practice Address - Fax:607-348-1674
Is Sole Proprietor?:No
Enumeration Date:2008-05-25
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262591207R00000X, 207RC0000X
390200000X
CAC151846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program