Healthcare Provider Details

I. General information

NPI: 1174672281
Provider Name (Legal Business Name): BELLINGHAM ASTHMA ALLERGY IMMUNOLOGY CLINIC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 SQUALICUM PKWY STE 180
BELLINGHAM WA
98225-1945
US

IV. Provider business mailing address

3015 SQUALICUM PKWY STE 180
BELLINGHAM WA
98225-1945
US

V. Phone/Fax

Practice location:
  • Phone: 360-733-5733
  • Fax: 360-733-1859
Mailing address:
  • Phone: 360-733-5733
  • Fax: 360-733-1859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number25387
License Number StateWA

VIII. Authorized Official

Name: DAVID ELKAYAM
Title or Position: PRESIDENT
Credential: MD
Phone: 360-733-5733