Individual
DINA F ELGOHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101250989
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10092469
SENTARA HEALTH PLAN
VA
05
—
1982865143
—
VA
05
—
5917524
—
NC
01
—
GRP 139178
BCBSVA
VA
01
—
P01066535
RAILROAD MEDICARE
VA
Enumeration date
06/20/2008
Last updated
02/07/2014
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