Individual
DR. ELIAS A. TAWIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2312 S TUCKER TER, PITTSBURG, KS 66762-6566
(620) 231-1300
(620) 231-8174
Mailing address
2312 S TUCKER TER, PITTSBURG, KS 66762-6566
(620) 231-1300
(620) 231-8174
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-20368
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100199740D
—
KS
01
—
110811
BLUE CROSS BLUE SHIELD
KS
01
—
340013264
RR MEDICARE
KS
Enumeration date
06/15/2005
Last updated
07/12/2023
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