Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35051792 | OH |
N | 208200000X | Surgeon | 35051792 | OH |
N | 208600000X | Surgeon | 35051792 | OH |
NPI | 1780635847 |
---|---|
Provider Name | Dr. Elmahdi A. Elkhammas |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1280 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 05/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0619941 | (05) | OH |
E83715 | (02) |