Provider Demographics
NPI:1053750208
Name:ELSHEIKH PULMONARY AND CRITICAL CARE LLC
Entity type:Organization
Organization Name:ELSHEIKH PULMONARY AND CRITICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:NOON
Authorized Official - Middle Name:ELSHEIKH
Authorized Official - Last Name:MAHGOUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-755-3157
Mailing Address - Street 1:413 VIRGINIA WILDFLOWER TER
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-5431
Mailing Address - Country:US
Mailing Address - Phone:301-755-3157
Mailing Address - Fax:
Practice Address - Street 1:1310 SOUTHERN AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4623
Practice Address - Country:US
Practice Address - Phone:202-574-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060306207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty