Organization
YASIR SAIFULLAH MD PLLC
Active
Other names
Elizabethtown Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASIR SAIFULLAH M.D. (OWNER)
(270) 769-0110
Entity
Organization
Contact information
Practice address
103 FINANCIAL DRIVE, SUITE 100, ELIZABETHTOWN, KY 42701
(270) 769-0110
(270) 765-6953
Mailing address
103 FINANCIAL DRIVE, SUITE 100, ELIZABETHTOWN, KY 42701
(270) 769-0110
(270) 765-6953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100098530
—
KY
05
—
7100177010
—
KY
05
—
7100291450
—
KY
Enumeration date
01/09/2007
Last updated
09/29/2016
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