Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101260552 | VA |
Y | 207RC0200X | Critical Care Medicine | D0079969 | MD |
N | 207RC0200X | Critical Care Medicine | MD040521 | DC |
NPI | 1003174707 |
---|---|
Provider Name | Dr. Jeanpierre Elkhoury |
First Address | Mc Lean, VA 22102-3520 |
Second Address | Leonardtown, MD 20650-2015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2012 |
Last Update Date | 17/05/2020 |