Individual
FADEL SHAMMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, C375, LEXINGTON, KY 40536-0293
(859) 323-0005
Mailing address
800 ROSE ST, C375, LEXINGTON, KY 40536-0293
(859) 323-0005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301089512
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
49291
KY
Other
Enumeration date
01/28/2008
Last updated
08/24/2016
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