Organization
MOHAMMAD K GAYASADDIN
Active
Other names
Mohammad K Gayasaddin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD K GAYASADDIN M.D (OWNER)
(270) 765-2220
Entity
Organization
Contact information
Practice address
914 N DIXIE AVE STE 301, ELIZABETHTOWN, KY 42701-2515
(270) 765-2220
(270) 765-2226
Mailing address
914 N DIXIE AVE STE 301, ELIZABETHTOWN, KY 42701-2515
(270) 765-2220
(270) 765-2226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39269
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64092166
—
KY
Enumeration date
09/09/2008
Last updated
09/09/2008
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