# TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215122353
- **Authorized official:** DR. JAMAL MERHY MD (PRESIDENT)
- **Authorized official phone:** (606) 327-0055

## Contact information

- **Practice address:** 2301 LEXINGTON AVE, STE 220, ASHLAND, KY 41101-2873
- **Practice address phone:** (606) 327-0055
- **Practice address fax:** (606) 327-0054
- **Mailing address:** 2301 LEXINGTON AVE, STE 220, ASHLAND, KY 41101-2873
- **Mailing address phone:** (606) 327-0055
- **Mailing address fax:** (606) 327-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DG2468 | RAILROAD MEDICARE | — |