Individual
MOHAMED ABDULKAF TASHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD STE A120, LEXINGTON, KY 40504-3779
(859) 258-6784
(859) 258-6796
Mailing address
PO BOX 417, WHITE SULPHUR SPRINGS, WV 24986-0417
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28399
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4123516
HIGHMARK BCBS
WV
Enumeration date
01/14/2015
Last updated
03/24/2022
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