Tarek Qutob
Gastroenterologist
1001 E 2nd St
Coudersport
, Pennsylvania 16915-8161
Tarek Qutob
Gastroenterologist
1001 E 2nd St
Coudersport
, Pennsylvania 16915-8161
(814) 274-9300
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Tarek Qutob
- 8 Town Line Rd
- Coudersport, PA
- Zip : 16915-8532
- Phone : (814) 274-9300
Second Address
- Tarek Qutob
- 1001 E 2nd St
- Coudersport, PA
- Zip : 16915-8161
- Phone : (814) 274-9024
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD422113 | PA |
National Provider Identifier
| NPI | 1023059821 |
|---|---|
| Provider Name | Tarek Qutob |
| First Address | Coudersport, PA 16915-8532 |
| Second Address | Coudersport, PA 16915-8161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H95041 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.