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NPI Code Detail

MEDICARE: DR. LIOR URIEL ELKAYAM M.D.

MEDICARE: DR. LIOR URIEL ELKAYAM M.D.
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
1207R00000XInternal Medicine Physician236526NY
2207RC0000XCardiovascular Disease PhysicianME103075FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19361592OTHERFLAETNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598808180
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIOR URIEL ELKAYAM M.D.
Provider Business Mailing Address
First Line : 390 S STATE ROAD 7 STE 249
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6718
Country : US
Telephone Number : 954-743-5522
Fax Number : 954-743-5632
Provider Business Practice Location Address
First Line : 390 S STATE ROAD 7 STE 249
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6718
Country : US
Telephone Number : 954-743-5522
Fax Number : 954-743-5632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 11/03/2022

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