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Individual

DR. TAOUFIK A SADAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 252-4216
(304) 253-6809
Mailing address
22 MALLARD CT, BECKLEY, WV 25801-3615
(304) 252-4216
(304) 253-6809

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101231292
VA
207W00000X
Ophthalmology Physician
019996
SC
207W00000X
Ophthalmology Physician
Primary
20564
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001722842
BCBS
WV
01
001722843
BCBS
WV
01
180044216
RAILROAD RETIRMENT FUND
WV
05
1841345000
WV
01
39622
CARELINK
WV
01
502010
NATIONAL VISION ADMIN
WV
01
55-0784974
MEDICAL DEVELOPMENT INT
WV
01
550784974
ACORDIA NATIONAL
WV
01
550784974-0001
CIGNA HEALTH CARE
WV
05
6308953
VA
01
7088367
AETNA
WV
01
91562
UNICARE
WV
Enumeration date
09/28/2006
Last updated
07/16/2012
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