Individual provider · Type 1 NPI

Omar Tarek Ellaicy, MD

Internal Medicine Physician · Louisville, KY

NPI number 1346990058 Active

Practice location

530 S Jackson St
Louisville, KY 40202-1675

Call (502) 562-3000 Map

Mailing address

550 S Jackson St Bldg A3R40
Louisville, KY 40202-1622

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XR6772 (KY)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1346990058

Omar Tarek Ellaicy, MD's National Provider Identifier is 1346990058, issued on Mar 25, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Louisville, KY. The record was last updated on Apr 30, 2026.