Provider Demographics
NPI:1205113958
Name:ABU-ELYAZEED, DALIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DALIA
Middle Name:
Last Name:ABU-ELYAZEED
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17018 KING JAMES WAY APT 202
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2237
Mailing Address - Country:US
Mailing Address - Phone:240-750-7537
Mailing Address - Fax:
Practice Address - Street 1:17018 KING JAMES WAY APT 202
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2237
Practice Address - Country:US
Practice Address - Phone:240-750-7537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist