Organization
TRI-STATE DIABETES AND ENDOCRINOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL MERHY MD (PRESIDENT)
(606) 327-0055
Entity
Organization
Contact information
Practice address
2301 LEXINGTON AVE, STE 220, ASHLAND, KY 41101-2873
(606) 327-0055
(606) 327-0054
Mailing address
2301 LEXINGTON AVE, STE 220, ASHLAND, KY 41101-2873
(606) 327-0055
(606) 327-0054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG2468
RAILROAD MEDICARE
—
Enumeration date
09/12/2007
Last updated
12/03/2019
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