Elgendy, Issa
Elgendy, Issa is an individual health care provider with primary practice located at 1262 Oliver St Ste B, Fayetteville NC 28304-4449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elgendy, Issa can be contacted via phone (910) 609-4801.Contact Information
Primary practice address
1262 Oliver St Ste B
Fayetteville NC 28304-4449
Phone: (910) 609-4801
Fax: (910) 609-5406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200000049 | North Carolina |
Profile Details
| NPI number | 1114920030 |
|---|---|
| LBN Legal business name | Elgendy, Issa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114920030 | NPPES |
| North Carolina | MEDICAID | 891239J |
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