Dagnew, Elias

Dagnew, Elias is an individual health care provider with primary practice located at 9635 Ventana Way Ste 201 , Johns Creek GA 30022-8622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dagnew, Elias can be contacted via phone (404) 446-4424.

Contact Information

Primary practice address
9635 Ventana Way Ste 201 Johns Creek GA 30022-8622
Phone: (404) 446-4424
Fax: (404) 446-4420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 054606 Georgia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME96941 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME96941 Georgia

Profile Details

NPI number 1962408930
LBN Legal business name Dagnew, Elias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Dec 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962408930 NPPES
Georgia MEDICAID 838984626A
Georgia MEDICAID 277245100

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