Individual
FOAD ELAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1144 NORMAN DR, SUITE 104, MANTECA, CA 95336-5925
(209) 824-4400
(209) 824-4420
Mailing address
1144 NORMAN DR, SUITE 104, MANTECA, CA 95336-5925
(209) 824-4400
(209) 824-4420
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
39467
IA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25335
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
39467
IA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A106279
CA
208VP0000X
Pain Medicine Physician
036126105
IL
Other
Enumeration date
11/02/2009
Last updated
06/22/2015
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