Provider Demographics
NPI:1205143468
Name:ELJOURNI, AHMED SAID (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:SAID
Last Name:ELJOURNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 SUMMIT POINTE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-1051
Mailing Address - Country:US
Mailing Address - Phone:570-903-2581
Mailing Address - Fax:
Practice Address - Street 1:510 SUMMIT POINTE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-1051
Practice Address - Country:US
Practice Address - Phone:570-903-2581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT196546207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine