Provider Demographics
NPI:1154125821
Name:ELTRAIFY, SARAH ELSIDDIG AE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELSIDDIG AE
Last Name:ELTRAIFY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MINNESOTA MEDICAL CENTER-SMILEY'S
Mailing Address - Street 2:2020 EAST 28TH STREET, SUITE 104
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407
Mailing Address - Country:US
Mailing Address - Phone:612-333-0770
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MINNESOTA MEDICAL CENTER- SMILEY'S
Practice Address - Street 2:2020 EAST 28TH STREET, SUITE 104
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1394
Practice Address - Country:US
Practice Address - Phone:612-333-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program