Provider Demographics
NPI:1295967180
Name:ELHAM MEDICAL INTERNATIONAL INC
Entity type:Organization
Organization Name:ELHAM MEDICAL INTERNATIONAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:DAWOOD
Authorized Official - Last Name:HAMAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-687-7620
Mailing Address - Street 1:PO BOX 12578
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-2578
Mailing Address - Country:US
Mailing Address - Phone:818-687-7620
Mailing Address - Fax:
Practice Address - Street 1:5880 S HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501-9447
Practice Address - Country:US
Practice Address - Phone:818-687-7620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty