Provider Demographics
NPI:1154618445
Name:ELFAYAR, SAID
Entity type:Individual
Prefix:DR
First Name:SAID
Middle Name:
Last Name:ELFAYAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 PARKER RD W STE A
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-7425
Mailing Address - Country:US
Mailing Address - Phone:434-688-0519
Mailing Address - Fax:434-688-0517
Practice Address - Street 1:140 WEST PARKER RD
Practice Address - Street 2:SUITE A
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540
Practice Address - Country:US
Practice Address - Phone:434-688-0519
Practice Address - Fax:434-688-0517
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA34D1106621291U00000X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory