Provider Demographics
NPI:1487418505
Name:ELSHEKH, AHLAM
Entity type:Individual
Prefix:
First Name:AHLAM
Middle Name:
Last Name:ELSHEKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 W 44TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3015
Mailing Address - Country:US
Mailing Address - Phone:201-888-4668
Mailing Address - Fax:
Practice Address - Street 1:31 W 44TH ST APT 1
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3015
Practice Address - Country:US
Practice Address - Phone:201-888-4668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJE56030146160692347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle