MEDICARE: DANIEL ELBOGDADI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	D0077404	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	VAA102538	OTHER	VA	MEDICARE PTAN
3	C05754	OTHER	VA	ROCKINGHAM MEMORIAL MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1417027608	OTHER	VA	ROCKINGHAM MEMORIAL GROUP NPI

General Provider Information

NPI Number	:	1528186285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ELBOGDADI MD

Provider Business Mailing Address
First Line	:	7361 CALHOUN PL STE 600
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20855-2788
Country	:	US
Telephone Number	:	301-942-7600
Fax Number	:	301-942-3521

Provider Business Practice Location Address
First Line	:	8270 WILLOW OAKS CORPORATE DR STE 150
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4530
Country	:	US
Telephone Number	:	301-942-7600
Fax Number	:	703-573-7767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	02/05/2026

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Directions to “ DANIEL ELBOGDADI MD” Practice Location

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