Individual
ZIAD W. DEEB SARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3229 SUMMIT SQUARE PL, SUITE 240, LEXINGTON, KY 40509-2648
(502) 867-0411
(502) 867-0453
Mailing address
PO BOX 1430, FRANKFORT, KY 40602-1430
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493306
ANTHEM BCBS
—
05
—
64062557
—
KY
Enumeration date
06/03/2006
Last updated
09/08/2008
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