MEDICARE: DR. TAOUFIK A SADAT MD

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
1	207W00000X	Ophthalmology Physician	20564	WV
2	207W00000X	Ophthalmology Physician	0101231292	VA
3	207W00000X	Ophthalmology Physician	019996	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	550784974-0001	OTHER	WV	CIGNA HEALTH CARE
3	001722843	OTHER	WV	BCBS
4	180044216	OTHER	WV	RAILROAD RETIRMENT FUND
5	550784974	OTHER	WV	ACORDIA NATIONAL
6	001722842	OTHER	WV	BCBS
7	550784974	OTHER	WV	TRICARE
8	7088367	OTHER	WV	AETNA
9	39622	OTHER	WV	CARELINK
10	91562	OTHER	WV	UNICARE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	502010	OTHER	WV	NATIONAL VISION ADMIN
13	55-0784974	OTHER	WV	MEDICAL DEVELOPMENT INT

General Provider Information

NPI Number	:	1437241346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAOUFIK A SADAT MD

Provider Business Mailing Address
First Line	:	22 MALLARD CT
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-3615
Country	:	US
Telephone Number	:	304-252-4216
Fax Number	:	304-253-6809

Provider Business Practice Location Address
First Line	:	22 MALLARD CT
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-3615
Country	:	US
Telephone Number	:	304-252-4216
Fax Number	:	304-253-6809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/16/2012

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