MEDICARE: DR. TAREK ELCHAMI

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	111N00000X	Chiropractor	DC27051	CA

General Provider Information

NPI Number	:	1578581732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAREK ELCHAMI

Provider Business Mailing Address
First Line	:	2910 STEVENS CREEK BLVD
Second Line	:	STE 209
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2015
Country	:	US
Telephone Number	:	408-476-6344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 STEVENS CREEK BLVD STE 209
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2015
Country	:	US
Telephone Number	:	408-476-6344
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	12/16/2010

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Directions to “ DR. TAREK ELCHAMI ” Practice Location

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