Local City Search for Surgeons and Surgical Clinics 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Y00000X | Physicians Otolaryngology | KY | 36227 |
| N | 204E00000X | Physicians Oral & Maxillofacial Surgery | KY | 36227 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAIL ROAD MEDICARE | 040016659 | KY | 01 |
| SA64023724 | KY | 05 | |
| ANTHEM BCBS | 000000213266 | KY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
