Individual
LUIS F ELJAIEK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298
(804) 828-0996
(804) 628-0384
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101037158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6042767
—
VA
01
—
930051787
RAILROAD MEDICARE
VA
Enumeration date
06/03/2006
Last updated
07/01/2019
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