MEDICARE: AFIF GEORGE ELIAS 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	207Q00000X	Family Medicine Physician	C50533	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558346346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFIF GEORGE ELIAS MD

Provider Business Mailing Address
First Line	:	9900 STOCKDALE HWY
Second Line	:	STE 203
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-3632
Country	:	US
Telephone Number	:	661-663-0300
Fax Number	:	661-663-0903

Provider Business Practice Location Address
First Line	:	9900 STOCKDALE HWY
Second Line	:	STE 203
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-3632
Country	:	US
Telephone Number	:	661-663-0300
Fax Number	:	661-663-0903

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	06/30/2010

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