Provider Demographics
NPI:1841254521
Name:ELAMIN, ELSHAMI M (MD)
Entity type:Individual
Prefix:DR
First Name:ELSHAMI
Middle Name:M
Last Name:ELAMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402-0256
Mailing Address - Country:US
Mailing Address - Phone:785-823-0683
Mailing Address - Fax:785-823-0658
Practice Address - Street 1:730 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-8778
Practice Address - Country:US
Practice Address - Phone:316-283-1141
Practice Address - Fax:316-283-1162
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0428758207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100367030CMedicaid
OK200486950AMedicaid
KS0428758OtherKS LICENSE
KS100367030AMedicaid
KSBE7398515OtherDEA
H23854Medicare UPIN
OK200486950AMedicaid