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Individual

MR. GHAYTH MAHMOUD HAMMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
234 WEST PORTER ST, MORGANTOWN, KY 42261-8629
(270) 526-9652
(270) 526-9655
Mailing address
PO BOX 278, 234 WEST PORTER ST, MORGANTOWN, KY 42261-0278
(270) 526-9652
(270) 526-9655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35218
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64994130
KY
Enumeration date
10/04/2006
Last updated
01/10/2011
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