Individual
DR. HAZEM A ELARINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FACS
Contact information
Practice address
2235 CEDAR LN, 302, VIENNA, VA 22182-5202
(703) 778-6000
(703) 778-6005
Mailing address
2235 CEDAR LN, 302, VIENNA, VA 22182-5202
(703) 778-6000
(703) 778-6005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101057211
VA
2086S0127X
Trauma Surgery Physician
61708-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649203118
—
VA
01
—
206776
ANTHEM
VA
01
—
342276
ANTHEM BLUE CROSS-TCH
VA
05
—
3810011401
—
WV
01
—
5076737003
CIGNA HMO
VA
01
—
52400001
CARE FIRST
VA
01
—
5850652
AETNA PPO
VA
05
—
73-0921-0
—
VA
Enumeration date
07/08/2006
Last updated
09/24/2021
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