Provider Demographics
NPI:1801941414
Name:ELMAHDAWY, LAMIA (MD)
Entity type:Individual
Prefix:
First Name:LAMIA
Middle Name:
Last Name:ELMAHDAWY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-2944
Mailing Address - Country:US
Mailing Address - Phone:352-369-1001
Mailing Address - Fax:352-369-0977
Practice Address - Street 1:3105 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-2944
Practice Address - Country:US
Practice Address - Phone:352-369-1001
Practice Address - Fax:352-369-0977
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83206174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist