| Ahmed Elebiary Md, Llc | |
|
900 Virginia Ave Alexandria VA 22302-3200 | |
| (703) 705-9500 | |
| (571) 685-2016 |
| Full Name | Ahmed Elebiary Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Virginia Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Ahmed Elebiary (OWNER) |
| Authorized Official Contact | 7037059500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Elebiary Md, Llc 3114 Patrick Henry Dr Falls Church VA 22044-1823 Ph: (703) 705-9500 | Ahmed Elebiary Md, Llc 900 Virginia Ave Alexandria VA 22302-3200 Ph: (703) 705-9500 |
| NPI Number | 1043789423 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 01/01/2024 |
| Medicare PECOS PAC ID | 0840525572 |
|---|---|
| Medicare Enrollment ID | O20190717001579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043789423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmed Mahmoud Elebiary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659719227 PECOS PAC ID: 8022301704 Enrollment ID: I20160809000083 |
| Provider Name | Iman Mohamoud Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932406816 PECOS PAC ID: 0143476218 Enrollment ID: I20170929000058 |
| Provider Name | Seyeon Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699380667 PECOS PAC ID: 5597185298 Enrollment ID: I20201019002494 |
| Provider Name | Margaret Lefah Mbinyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104380716 PECOS PAC ID: 9537574330 Enrollment ID: I20210208002284 |
| Provider Name | Da Eun Kim Yun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548847213 PECOS PAC ID: 3577971753 Enrollment ID: I20210428001773 |
| Provider Name | Sainabou Jallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013510619 PECOS PAC ID: 6204235096 Enrollment ID: I20210527001531 |
| Provider Name | Tsige W Sorga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376157560 PECOS PAC ID: 8820403108 Enrollment ID: I20210914000977 |
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