Healthcare Provider Details

I. General information

NPI: 1871778332
Provider Name (Legal Business Name): FUAD ELAMIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ABDUL AMIN MUHAMMAD MD

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 8TH ST SE
WASHINGTON DC
20003-2802
US

IV. Provider business mailing address

717 8TH ST SE
WASHINGTON DC
20003-2802
US

V. Phone/Fax

Practice location:
  • Phone: 202-547-6440
  • Fax: 202-547-6445
Mailing address:
  • Phone: 202-547-6440
  • Fax: 202-547-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD13369
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: