Provider Demographics
NPI:1952501439
Name:ELIAS, ABDALLAH F (MD)
Entity Type:Individual
Prefix:
First Name:ABDALLAH
Middle Name:F
Last Name:ELIAS
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:PO BOX 5539
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-5539
Mailing Address - Country:US
Mailing Address - Phone:406-444-7500
Mailing Address - Fax:406-444-7588
Practice Address - Street 1:2755 COLONIAL DRIVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5539
Practice Address - Country:US
Practice Address - Phone:406-444-7500
Practice Address - Fax:406-444-7588
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1250207Q00000X, 207SG0201X
MT12510207Q00000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine