Provider Demographics
NPI:1871589234
Name:ELKAYAM, DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:ELKAYAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 SQUALICUM PKWY
Mailing Address - Street 2:SUITE #180
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1945
Mailing Address - Country:US
Mailing Address - Phone:360-733-5733
Mailing Address - Fax:360-733-1859
Practice Address - Street 1:3015 SQUALICUM PKWY
Practice Address - Street 2:SUITE #180
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1945
Practice Address - Country:US
Practice Address - Phone:360-733-5733
Practice Address - Fax:360-733-1859
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2007-10-31
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-04
Provider Licenses
StateLicense IDTaxonomies
NY25387207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1112291Medicaid
WAA09505Medicare UPIN
WAGAB19815Medicare PIN
WAAB19813Medicare ID - Type Unspecified
WA1112291Medicaid