Individual
TAREK SAYED ELGANAINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13924 COALFIELD COMMONS PL, STE 102, MIDLOTHIAN, VA 23114-1216
(804) 594-1998
(804) 594-3804
Mailing address
13924 COALFIELD COMMONS PL, STE 102, MIDLOTHIAN, VA 23114-1216
(804) 594-1998
(804) 594-3804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006030
GA
111N00000X
Chiropractor
Primary
0104555793
VA
111N00000X
Chiropractor
CH 7767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139261
ANTHEM BS BC
VA
01
—
260788
SOUTHERN HEALTH PROV ID
VA
01
—
5583633
AETNA PROVIDER NUMBER
VA
Enumeration date
01/04/2007
Last updated
06/12/2013
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