Organization
ALLAHHAM CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. ALLAHHAM M.D. (OWNER)
(859) 236-7756
Entity
Organization
Contact information
Practice address
1000 E LEXINGTON AVE, SUITE 25, DANVILLE, KY 40422-9042
(859) 236-7756
(859) 236-7209
Mailing address
PO BOX 23, DANVILLE, KY 40423-0023
(859) 236-7756
(859) 236-7209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30090
KY
2084P0800X
Psychiatry Physician
Primary
30090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64008451
—
KY
Enumeration date
02/02/2009
Last updated
02/26/2009
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