Abdalla L Elias, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

010324 Issued in LA

Practice address

109 Circle Dr
West Monroe, LA 71291-5303

Phone

(318) 323-1834

Fax

(318) 323-0376

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayou Pathology, Apmc & N. Smith, MD, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Ruston, LA
  • NPI 1396746855
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1952302978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CIRCLE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915303",
            "telephone_number": "318-323-1834",
            "fax_number": "318-323-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CIRCLE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915303",
            "telephone_number": "318-323-1834",
            "fax_number": "318-323-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "ABDALLA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "010324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1187291",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Otis Edgerton III, M.D.
• Elahi Eye Care, Inc.
• Mercy Angela Elahi-Neal, O.D.
• Alayna Eley
• James Eley, PHARM D
• Patriciah Eligi
• Clyde E Elliott, MD
• Shanda Latrese Ellis
• Sierra Ellis, LCSW
• Lisa English

• Anatomic Pathology & Clinical Pathology Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.