Individual
DR. OMRAN RIAD ABUL-KHOUDOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS, RVT
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
35.093617
OH
2086S0129X
Vascular Surgery Physician
Primary
40007
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000777096
ANTHEM BCBS
KY
05
—
2645436
—
OH
05
—
3810006163
—
WV
05
—
64062821
—
KY
01
—
7499265
AETNA
KY
Enumeration date
05/10/2006
Last updated
01/19/2024
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