Organization
BIG SANDY SURGICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARUQUE AHMED D.O. (PHYSICIAN / OWNER)
(606) 889-8895
Entity
Organization
Contact information
Practice address
5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653-9168
(606) 889-8895
(606) 889-8896
Mailing address
5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653-9168
(606) 889-8895
(606) 889-8896
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TP075
KY
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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