Elsarrag, Zaki M

Elsarrag, Zaki M is an individual health care provider with primary practice located at 3 E Benjamin Dr , New Martinsville WV 26155-2705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Elsarrag, Zaki M can be contacted via phone (304) 455-8000.

Contact Information

Primary practice address
3 E Benjamin Dr New Martinsville WV 26155-2705
Phone: (304) 455-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101057267 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17865 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101057267 Virginia

Profile Details

NPI number 1184679029
LBN Legal business name Elsarrag, Zaki M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Apr 18th, 2022 - about 2 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 1184679029 NPPES
Other 11101163 CAQH
MEDICAID 010275610 CAQH
MEDICAID 007503000 CAQH
Other 00601919 CAQH
Other 1042794 CAQH
Other P00336893 CAQH

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