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TARIQ A SARTAWI MD

Surgery Yellow Pages

Jackson, Kentucky

Provider NPI: 1629081385

Provider Information:
 TARIQ A SARTAWI MD


Practice Location:
1550 HWY 15 SOUTH SUITE #29 JACKSON, KY 41339 US
Tel: 606-666-9909  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XPhysicians
Otolaryngology
KY36227
N204E00000XPhysicians
Oral & Maxillofacial Surgery
KY36227

Other Provider Identifiers:

IssuerNumberStateType
RAIL ROAD MEDICARE040016659KY01
SA64023724KY05
ANTHEM BCBS000000213266KY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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