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Organization

KENTUCKY GASTROENTEROLOGY PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NADEEM A KHAN MD (OWNER)
(859) 625-0900
Entity
Organization

Contact information

Practice address
793 EASTERN BYP, SUITE 216, RICHMOND, KY 40475-2422
(859) 625-0900
(859) 625-0995
Mailing address
793 EASTERN BYP, SUITE 216, RICHMOND, KY 40475-2422
(859) 625-0900
(859) 625-0995

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000579699
ANTHEM BCBS
KY
05
64333818
KY
Enumeration date
08/04/2008
Last updated
01/12/2009
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