Individual
NAWAR SODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 BRENWOOD ST, BEREA, KY 40403-1637
(859) 985-0302
Mailing address
2405 ROSSINI PL, LEXINGTON, KY 40509-4533
(859) 466-8956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41992
KY
Other
Enumeration date
07/05/2007
Last updated
01/30/2013
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