Individual
DR. ABDELAZIZ ALI ELSANJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 FRANKLIN RD SW, ROANOKE, VA 24014-1010
(540) 344-1400
(540) 344-7133
Mailing address
2602 FRANKLIN RD SW, ROANOKE, VA 24014-1010
(540) 344-1400
(540) 344-7133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56665
WI
207RN0300X
Nephrology Physician
Primary
0101242405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518151620
ANTHEM
VA
01
—
1518151620
UNITED HEALTHCARE
—
05
—
1518151620
—
VA
01
—
3408259
CIGNA
—
Enumeration date
08/31/2007
Last updated
09/08/2016
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