Individual ProviderZiyad Abdel-Fattah ElewaSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2104 Northdale Blvd NW Ste 100, Coon Rapids, MN 55433-3045(612) 418-6077(414) 403-5298PECOS EnrollmentBased on the most recent information from CMS, provider Ziyad Abdel-Fattah Elewa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1821562026Provider TypeIndividualFull NameElewa, Ziyad Abdel-FattahCredentialLAT, ATCGenderMaleSole ProprietorYesEnumeration Date1/22/2019Last Updated12/28/2021Contact InformationPractice LocationPractice Address2104 Northdale Blvd NW Ste 100, Coon Rapids, MN 55433-3045Phone(612) 418-6077FaxUnlisted FaxMailing LocationMailing Address1740 Norfolk Ave Apt 1, Saint Paul, MN 55116-3030Phone(414) 403-5298FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3335Minnesota