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NPI Code Detail

MEDICARE: ATEF SAMY TAWFIK MD

MEDICARE: ATEF SAMY TAWFIK 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
1207Q00000XFamily Medicine Physician036064164IL

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 : 1629007067
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATEF SAMY TAWFIK MD
Provider Business Mailing Address
First Line : 942 S ATLANTIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-4004
Country : US
Telephone Number : 323-263-9700
Fax Number : 323-263-8042
Provider Business Practice Location Address
First Line : 942 S ATLANTIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-4004
Country : US
Telephone Number : 323-263-9700
Fax Number : 323-263-8042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 06/17/2014

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Directions to “ ATEF SAMY TAWFIK MD” Practice Location

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