Provider Demographics
NPI:1194786046
Name:ELGAMAL, ZAK W (LSA)
Entity type:Individual
Prefix:MR
First Name:ZAK
Middle Name:W
Last Name:ELGAMAL
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:DR
Other - First Name:ZAKI
Other - Middle Name:W
Other - Last Name:ELGAMAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, EGYPT
Mailing Address - Street 1:15231 BLACK FALLS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-1286
Mailing Address - Country:US
Mailing Address - Phone:713-825-8680
Mailing Address - Fax:281-568-8473
Practice Address - Street 1:10039 BISSONNET ST
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7854
Practice Address - Country:US
Practice Address - Phone:713-779-9800
Practice Address - Fax:713-779-9862
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA0011246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist