Individual
DR. YASIR SAIFULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 FINANCIAL PL STE 100, ELIZABETHTOWN, KY 42701-4471
(270) 769-0110
(270) 765-6953
Mailing address
103 FINANCIAL PL STE 100, ELIZABETHTOWN, KY 42701-4471
(270) 769-0110
(270) 765-6953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32932
KY
208000000X
Pediatrics Physician
Primary
32932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64329329
—
KY
Enumeration date
06/03/2006
Last updated
06/04/2021
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