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YASIR SAIFULLAH MD PLLC NPI 1548319593


NPI Information

NPI: 1548319593
Provider Name: YASIR SAIFULLAH MD PLLC

Doing Business As: ELIZABETHTOWN PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 18D0326943

Address:
103 FINANCIAL DRIVE
SUITE 100
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-0110
Get Directions

YASIR SAIFULLAH MD PLLC is a pediatrics in Elizabethtown, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. YASIR SAIFULLAH MD PLLC NPI is 1548319593. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Elizabethtown Pediatrics.

The provider's business location address is:

103 FINANCIAL DRIVE
SUITE 100
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-0110
Fax: (270) 765-6953

The provider's authorized official is Yasir Saifullah .
The authorized official title is Owner and has the following contact phone number (270) 769-0110.

The CLIA number assigned to this NPI record is 18D0326943 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 9/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2363A00000XPhysician AssistantNo
3208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100098530MEDICAIDKENTUCKY
27100291450MEDICAIDKENTUCKY
37100177010MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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