Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 31631 | TN |
N | 207XS0117X | Orthopaedic Spine Surgeon | 31631 | TN |
NPI | 1174664296 |
---|---|
Provider Name | Dr. Tarek Galal Elalayli |
First Address | Goodlettsville, TN 37072-3132 |
Second Address | Hermitage, TN 37076-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 10/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201221325 | GREAT WEST HEALTHCARE (01) | |
201221325 | HEALTHSPRING (01) | TN |
201221325 | TRICARE (01) | |
3841844 | (05) | TN |
3841844 | MEDICARE (01) | TN |
4091928 | BLUECROSS (01) | TN |
4343261 | BCBS (01) | TN |
5642616 | CIGNA (01) | TN |
64712987 | (05) | KY |
7740006 | AETNA (01) | TN |
G94318 | (02) | TN |
Q000423 | (05) | TN |