Provider Demographics
NPI:1538863493
Name:ELMAKAWEY, NERMIN NADER (MD)
Entity type:Individual
Prefix:
First Name:NERMIN
Middle Name:NADER
Last Name:ELMAKAWEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NERMIN
Other - Middle Name:NADER MOHAMED
Other - Last Name:ABDELAZIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6016 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-1606
Mailing Address - Country:US
Mailing Address - Phone:708-737-0076
Mailing Address - Fax:708-634-3437
Practice Address - Street 1:5301 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2805
Practice Address - Country:US
Practice Address - Phone:520-324-5095
Practice Address - Fax:520-324-5231
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty