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Individual

SHADEN HAMDY FATHY YASSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510
Mailing address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
FL084
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
FL084
KY

Other

Enumeration date
06/24/2025
Last updated
08/25/2025
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