Basic Information
| Provider Information | |||||||||
| NPI: | 1366884785 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELAYYAN | ||||||||
| FirstName: | AHMAD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 RAWLINS DR | ||||||||
| Address2: | |||||||||
| City: | SEAFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199735881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029903300 | ||||||||
| FaxNumber: | 3026290454 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 RAWLINS DR | ||||||||
| Address2: | |||||||||
| City: | SEAFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199735881 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029903300 | ||||||||
| FaxNumber: | 3026290454 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2013 | ||||||||
| LastUpdateDate: | 12/11/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301102576 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RE0101X | C1-0012628 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.