MEDICARE: DR. KARIM ELKENAWY DDS

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	1223G0001X	General Practice Dentistry	0401416249	VA

General Provider Information

NPI Number	:	1790263937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIM ELKENAWY DDS

Provider Business Mailing Address
First Line	:	22365 BRODERICK DR STE 349
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166-9362
Country	:	US
Telephone Number	:	703-574-0008
Fax Number	:

Provider Business Practice Location Address
First Line	:	22365 BRODERICK DR STE 349
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166-9362
Country	:	US
Telephone Number	:	703-574-0009
Fax Number	:

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

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	04/29/2025

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