Provider Demographics
NPI:1730260605
Name:LOUIS, ELAN DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ELAN
Middle Name:DANIEL
Last Name:LOUIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5323 HARRY HINES BLVD.
Mailing Address - Street 2:SUITE NL9.114
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8813
Mailing Address - Country:US
Mailing Address - Phone:214-648-3571
Mailing Address - Fax:214-645-5061
Practice Address - Street 1:5323 HARRY HINES BLVD.
Practice Address - Street 2:SUITE NL9.114
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8813
Practice Address - Country:US
Practice Address - Phone:214-648-3571
Practice Address - Fax:214-645-5061
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1914932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG17515Medicare UPIN
NY503801Medicare ID - Type Unspecified