Provider Demographics
NPI:1437351145
Name:TSALIK, EPHRAIM LEE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:EPHRAIM
Middle Name:LEE
Last Name:TSALIK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 WOODSIDE PARK LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6045
Mailing Address - Country:US
Mailing Address - Phone:919-970-9657
Mailing Address - Fax:919-681-6448
Practice Address - Street 1:DUMC 31279
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-681-2383
Practice Address - Fax:919-681-6448
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine