OMAR TAREK ELLAICY

LOUISVILLE, KY
NPI1346990058
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: KY  R6772)
Enumeration Date2022-03-25
Last Update Date2026-04-30
Business Address
OMAR TAREK ELLAICY MD
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-562-3000
Mailing Address
OMAR TAREK ELLAICY MD
550 S JACKSON ST BLDG A3R40
LOUISVILLE, KY 40202-1622
Phone number: 502-852-2840
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