Healthcare Provider Details

I. General information

NPI: 1609490192
Provider Name (Legal Business Name): ZEYAD SAEED AMR ELHARABI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 HIGHWAY 9 E STE 320
LITTLE RIVER SC
29566-8165
US

IV. Provider business mailing address

3980 HIGHWAY 9 E STE 320
LITTLE RIVER SC
29566-8165
US

V. Phone/Fax

Practice location:
  • Phone: 843-366-3715
  • Fax:
Mailing address:
  • Phone: 843-366-3715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number96919
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: