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NPI Code Detail

MEDICARE: DR. NOLAN SAKOW MD

MEDICARE: DR. NOLAN SAKOW 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
12085N0904XNuclear Radiology Physician25501KY
2208D00000XGeneral Practice Physician25501KY

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 : 1861594509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOLAN SAKOW MD
Provider Business Mailing Address
First Line : PO BOX 4342
Second Line :
City : HORSESHOE BAY
State : TX
Zip : 78657-4342
Country : US
Telephone Number : 830-598-1745
Fax Number :
Provider Business Practice Location Address
First Line : 540 JETT DR
Second Line :
City : JACKSON
State : KY
Zip : 41339-9622
Country : US
Telephone Number : 606-666-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 11/22/2016

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Directions to “ DR. NOLAN SAKOW MD” Practice Location

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