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NPI Code Detail

MEDICARE: DR. TAREK ELSAWY M.D.

MEDICARE: DR. TAREK ELSAWY M.D.
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 : 1811946221
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAREK ELSAWY M.D.
Provider Business Mailing Address
First Line : 6000 W CREEK RD
Second Line : SUITE 10
City : INDEPENDENCE
State : OH
Zip : 44131-2182
Country : US
Telephone Number : 216-444-2200
Fax Number :
Provider Business Practice Location Address
First Line : 8701 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 09/24/2014

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