Eltahir, Elmutaz M
Eltahir, Elmutaz M is an individual health care provider with primary practice located at 2010 Health Campus Dr , Rockingham VA 22801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Eltahir, Elmutaz M can be contacted via phone (540) 689-1110.Contact Information
Primary practice address
2010 Health Campus Dr
Rockingham VA 22801
Phone: (540) 689-1110
Fax: (540) 689-1119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48616-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48498 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101263961 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0048498 | Colorado |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101263961 | Virginia |
Profile Details
| NPI number | 1982723821 |
|---|---|
| LBN Legal business name | Eltahir, Elmutaz M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Dec 4th, 2019 - about 6 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 | 1982723821 | NPPES |
| Virginia | MEDICAID | 1982723821 | |
| Virginia | MEDICAID | 62380851 | |
| Virginia | Other | 020625 | |
| Virginia | Other | 48616-020 |
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