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Organization

ASHLAND MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMAD RIAD ABUL-KHOUDOUD MD (PRESIDENT)
(606) 833-5864
Entity
Organization

Contact information

Practice address
1061 KENWOOD DR, RUSSELL, KY 41169-1527
(606) 833-5864
(606) 833-9760
Mailing address
1061 KENWOOD DR, RUSSELL, KY 41169-1527
(606) 833-5864
(606) 833-9760

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
05/10/2006
Last updated
05/05/2010
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