Elkayam, Ezra Samuel

Elkayam, Ezra Samuel is an individual health care provider with primary practice located at 2311 N Mesa St Ste F , El Paso TX 79902-3575. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Elkayam, Ezra Samuel can be contacted via phone (915) 544-6400.

Contact Information

Primary practice address
2311 N Mesa St Ste F El Paso TX 79902-3575
Phone: (915) 544-6400
Fax: (915) 544-2836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X J1083 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME88890 Florida
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1023091477
LBN Legal business name Elkayam, Ezra Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Aug 12th, 2021 - about 4 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 1023091477 NPPES
Louisiana MEDICAID 1541966
Louisiana MEDICAID 269879000
Louisiana MEDICAID 09737392

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