Provider Demographics
NPI:1730156373
Name:ELKAS, JOHN C (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:ELKAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5801 POSTAL RD UNIT 81310
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44181-2112
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:
Practice Address - Street 1:8081 INNOVATION PARK DR STE 775
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4867
Practice Address - Country:US
Practice Address - Phone:571-308-1830
Practice Address - Fax:571-308-1843
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2024-12-09
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Provider Licenses
StateLicense IDTaxonomies
VA0101239186207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCH33377Medicare UPIN
DC006916025Medicare ID - Type UnspecifiedTRAILBLAZER