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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023091477 | NPPES |
| Louisiana | MEDICAID | 1541966 | |
| Louisiana | MEDICAID | 269879000 | |
| Louisiana | MEDICAID | 09737392 |
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