1437241346 NPI number — DR. TAOUFIK A SADAT MD

Table of content: DR. TAOUFIK A SADAT MD (NPI 1437241346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437241346 NPI number — DR. TAOUFIK A SADAT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SADAT
Provider First Name:
TAOUFIK
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437241346
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 MALLARD CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BECKLEY
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25801-3615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-252-4216
Provider Business Mailing Address Fax Number:
304-253-6809

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 MALLARD CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BECKLEY
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25801-3615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-252-4216
Provider Business Practice Location Address Fax Number:
304-253-6809
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  20564 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207W00000X , with the licence number: 0101231292 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: 019996 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6308953 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 550784974-0001 . This is a "CIGNA HEALTH CARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 001722843 . This is a "BCBS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 180044216 . This is a "RAILROAD RETIRMENT FUND" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 550784974 . This is a "ACORDIA NATIONAL" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 001722842 . This is a "BCBS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 550784974 . This is a "TRICARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 7088367 . This is a "AETNA" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 39622 . This is a "CARELINK" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 91562 . This is a "UNICARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 1841345000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 502010 . This is a "NATIONAL VISION ADMIN" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 55-0784974 . This is a "MEDICAL DEVELOPMENT INT" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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