Individual
ABDI VAEZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14949 N US HIGHWAY 25 E, SUITE 6, CORBIN, KY 40701-6285
(606) 528-0009
(606) 528-0091
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64258577
—
KY
01
—
P01427260
RR MEDICARE
KY
Enumeration date
11/10/2005
Last updated
02/04/2016
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