Healthcare Provider Details

I. General information

NPI: 1235536913
Provider Name (Legal Business Name): DALIA MAHMOUD HASSAN ELAMIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DALIA MAHMOUD MD

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 CLARK WAY
SOMERSWORTH NH
03878-4401
US

IV. Provider business mailing address

21 CLARK WAY
SOMERSWORTH NH
03878-4401
US

V. Phone/Fax

Practice location:
  • Phone: 603-692-2228
  • Fax:
Mailing address:
  • Phone: 603-692-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19414
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number19414
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: