Provider Demographics
NPI:1992979108
Name:ELTRAPOLSI, OSAMA F (FOREIGN GRADUATE MD)
Entity type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:F
Last Name:ELTRAPOLSI
Suffix:
Gender:M
Credentials:FOREIGN GRADUATE MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 YOAKUM PKWY
Mailing Address - Street 2:1016
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3800
Mailing Address - Country:US
Mailing Address - Phone:703-888-0217
Mailing Address - Fax:703-286-7514
Practice Address - Street 1:205 YOAKUM PKWY
Practice Address - Street 2:1016
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3800
Practice Address - Country:US
Practice Address - Phone:703-888-0217
Practice Address - Fax:703-286-7514
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant