MEDICARE: DR. TAREK AMMAR 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	207RG0100X	Gastroenterology Physician	10702453-1205	UT
2	207RG0100X	Gastroenterology Physician	13527	NV

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

General Provider Information

NPI Number	:	1649478314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAREK AMMAR MD

Provider Business Mailing Address
First Line	:	8530 W SUNSET RD
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2215
Country	:	US
Telephone Number	:	702-483-4483
Fax Number	:	702-483-4493

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD
Second Line	:	SUITE 230
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2215
Country	:	US
Telephone Number	:	702-483-4483
Fax Number	:	702-483-4493

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	02/18/2021

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Directions to “ DR. TAREK AMMAR MD” Practice Location

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