Individual
SHABEER ABUBUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5650
(270) 825-5569
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4966
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
057763
GA
2084P0800X
Psychiatry Physician
42433
TN
2084P0800X
Psychiatry Physician
Primary
4846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057763
LICENSE
GA
01
—
42433
LICENSE
TN
05
—
7100396060
—
KY
Enumeration date
09/20/2006
Last updated
12/02/2020
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