Individual
DR. HANI A BLEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8885 STATE ROAD 237, TELL CITY, IN 47586-8567
(812) 547-0140
(270) 230-0293
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 230-0293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20716
MS
207Q00000X
Family Medicine Physician
44934
KY
207R00000X
Internal Medicine Physician
4301093284
MI
207R00000X
Internal Medicine Physician
44934
KY
207RN0300X
Nephrology Physician
Primary
44934
KY
208M00000X
Hospitalist Physician
20716
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766160
ANTHEM
KY
05
—
300069434
—
IN
01
—
50042658
PASSPORT MEDICAID
KY
05
—
7100219350
—
KY
Enumeration date
08/28/2008
Last updated
04/06/2026
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