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NPI Code Detail

MEDICARE: TAREK ELSAWY, M.D., LLC

MEDICARE: TAREK ELSAWY, M.D., LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35067959OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174714307
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAREK ELSAWY, M.D., LLC
Provider Business Mailing Address
First Line : 275 SPRINGSIDE DR
Second Line :
City : AKRON
State : OH
Zip : 44333-4548
Country : US
Telephone Number : 330-670-5316
Fax Number : 866-211-7728
Provider Business Practice Location Address
First Line : 5555 TRANSPORTATION BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-5371
Country : US
Telephone Number : 440-543-9810
Fax Number : 440-543-1591
Authorized Official
Title or Position : INTERNAL MEDICINE
Name : TAREK ELSAWY
Credential : M.D
Telephone Number : 440-543-9810
Provider Enumeration Date : 08/05/2007
Last Update Date : 06/25/2008

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