Individual
DR. MOHAMMED ATHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 KENOVA TRCE, LEXINGTON, KY 40511-8856
(847) 863-5412
(949) 864-3136
Mailing address
720 KENOVA TRCE, LEXINGTON, KY 40511-8856
(847) 863-5412
(949) 864-3136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60330
KY
207ZP0101X
Anatomic Pathology Physician
60330
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2016
Last updated
07/01/2025
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