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General NPI Number Information
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NPI Number | 1730156373
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Entity Type | Individual
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Provider Name | JOHN C ELKAS MD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 8081 INNOVATION PARK DR STE 775
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City | FAIRFAX
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State | VA
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Zip | 22031-4867
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Country | US
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Telephone | 571-308-1830
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Fax | 571-308-1843
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Provider Business Mailing Address
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Address Line | 5801 POSTAL RD UNIT 81310
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City | CLEVELAND
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State | OH
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Zip | 44181-2112
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Country | US
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Telephone | 301-340-8339
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 0101239186
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License Number State | VA
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