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Eltigani M Abdelhai

Internal Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3715

PECOS Enrollment

This provider is enrolled in PECOS as ELTIGANI ABDELHAI.

Based on the most recent information from CMS, provider Eltigani M Abdelhai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1538233531
Provider Type
Individual
Full Name
Abdelhai, Eltigani M
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/20/2006
Last Updated
10/11/2023

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3715

(770) 533-6645

(770) 535-2642

Mailing Location

PO Box 658, Gainesville, GA 30503-0658

(770) 718-1122

(770) 535-7445

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License DR.0067148 Colorado
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD00043077 Washington
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 061685 Georgia

Provider Identifiers

ID	Description	Issuer
ID 662789161B	Description Medicaid	Issuer Unlisted Georgia
ID P11806575	Description Other	Issuer MEDICARE RAILROAD Georgia
ID 110029C0551229	Description Other	Issuer TRAILBLAZERS Georgia
ID 2945742	Description Other	Issuer CIGNA Georgia
ID 459788	Description Other	Issuer WELLCARE Georgia
ID 662789161A	Description Medicaid	Issuer Unlisted Georgia
ID 662789161C	Description Medicaid	Issuer Unlisted Georgia
ID 662789161F	Description Medicaid	Issuer Unlisted Georgia
ID 7740605	Description Other	Issuer AETNA Georgia
ID 01237654	Description Other	Issuer AMERIGROUP Georgia
ID 52253417	Description Other	Issuer BCBS Georgia

Eltigani M Abdelhai

PECOS Enrollment

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