Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tareq Z.s. Qdaisat, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1366838831

Tareq Z.s. Qdaisat, MD is a Pathology in Edgewood, Kentucky. Qualified in 2007, 19 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky and Nebraska.

Years since qualifying
19
Licensed in
IN, KY, NE
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2018
Fax: (859) 301-2073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 — (859) 301-2018
  • Emile @ 42nd St, Omaha, NE 68198-3135 — (402) 559-4186

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 57980 (KY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 01092443A (IN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence TP529 (KY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 32402 (NE)

Record details

NPI number1366838831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2015
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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