Organization
SOMERSET CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID M. SALEH II M. D. (PRESIDENT)
(606) 679-1189
Entity
Organization
Contact information
Practice address
402 BOGLE ST, SUITE 2, SOMERSET, KY 42503-2870
(606) 679-1189
(606) 679-1187
Mailing address
402 BOGLE ST, SUITE 2, SOMERSET, KY 42503-2870
(606) 679-1189
(606) 679-1187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KY36456
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247973
BLUE CROSS BLUE SHIELD
KY
01
—
1197492
CHA
KY
01
—
203482
BLACK LUNG
KY
05
—
64051568
—
KY
01
—
P00051848
RAILROAD MEDICARE
KY
Enumeration date
08/18/2006
Last updated
08/22/2020
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