Individual
ELIAS S KAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 W HOSPITAL DR, STE 205, TUCSON, AZ 85704-7892
(520) 575-6944
(520) 575-1115
Mailing address
2055 W HOSPITAL DR, STE 205, TUCSON, AZ 85704-7892
(520) 575-6944
(520) 575-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066045A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01066045A
IN
207RP1001X
Pulmonary Disease Physician
01066045A
IN
207RP1001X
Pulmonary Disease Physician
Primary
48870
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01066045A
IN
Other
Enumeration date
11/25/2008
Last updated
08/01/2022
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