Provider Demographics
NPI:1871778332
Name:ELAMIN, FUAD (MD)
Entity type:Individual
Prefix:DR
First Name:FUAD
Middle Name:
Last Name:ELAMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABDUL
Other - Middle Name:AMIN
Other - Last Name:MUHAMMAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:717 8TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2802
Mailing Address - Country:US
Mailing Address - Phone:202-547-6440
Mailing Address - Fax:202-547-6445
Practice Address - Street 1:717 8TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2802
Practice Address - Country:US
Practice Address - Phone:202-547-6440
Practice Address - Fax:202-547-6445
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD133692083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine