Healthcare Provider Details

I. General information

NPI: 1871589234
Provider Name (Legal Business Name): DAVID ELKAYAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date: 03/23/2006
Reactivation Date: 04/04/2006

III. Provider practice location address

3015 SQUALICUM PKWY SUITE #180
BELLINGHAM WA
98225-1945
US

IV. Provider business mailing address

3015 SQUALICUM PKWY SUITE #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 StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: