Provider Demographics
NPI:1639540669
Name:SARTAWI, THAMER (MD)
Entity Type:Individual
Prefix:
First Name:THAMER
Middle Name:
Last Name:SARTAWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 N CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4003
Mailing Address - Country:US
Mailing Address - Phone:316-440-1010
Mailing Address - Fax:316-440-0802
Practice Address - Street 1:3009 N CYPRESS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4003
Practice Address - Country:US
Practice Address - Phone:316-440-1010
Practice Address - Fax:316-440-0802
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.071130207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease