Basic Information
| Provider Information | |||||||||
| NPI: | 1982081923 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EL-NAHAL | ||||||||
| FirstName: | WALID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 NORTH WOLFE STREET | ||||||||
| Address2: | 1830 BLDG, ROOM 450B | ||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212870005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106140919 | ||||||||
| FaxNumber: | 4106148588 | ||||||||
| Practice Location | |||||||||
| Address1: | 1215 LEE ST FL 3 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229080816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349241931 | ||||||||
| FaxNumber: | 4342956311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2015 | ||||||||
| LastUpdateDate: | 02/04/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MD | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 0101265943 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.