Individual
DR. HASSAN KHALIL REDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S. LIMESTONE, A301, LEXINGTON, KY 40536-0284
(859) 323-4934
(859) 257-4682
Mailing address
740 S. LIMESTONE, A301, LEXINGTON, KY 40536-0284
(859) 323-4934
(859) 257-4682
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
41214
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
K9882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151000002
—
TX
01
—
41214
KBML
KY
01
—
8M8862
BLUE CROSS
TX
Enumeration date
07/18/2006
Last updated
11/12/2019
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