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Individual

DR. FAIZ M UDDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 W LINCOLN TRAIL BLVD STE 102, RADCLIFF, KY 40160-2671
(270) 351-3515
(270) 351-7506
Mailing address
175 MARY LEE ST, ELIZABETHTOWN, KY 42701-4481
(859) 539-9905

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036110727
IL
207Q00000X
Family Medicine Physician
Primary
KY38224
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64066764
KY
Enumeration date
11/23/2005
Last updated
08/30/2016
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