| Doctor Name: | DR. TAREK GALAL ELALAYLI |
| NPI Number: | 1174664296 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD0000031631 |
| Business Practice Address: | 5651 Frist Blvd Suite 200 Hermitage, TN - 370762054 |
| Business Phone Number: | 6158850200 |
| Business Fax Number: | 6158850267 |
| Mailing Address: | 3024 Business Park Cir, GOODLETTSVILLE |
| State: | TN |
| Postal Code: | 370723132 |
| Phone Number: | 6158556033 |
| Fax Number: | 6152969939 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 03/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD0000031631 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |