Individual
DOLLY ALBERT BOUGHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 SOUTHWIND LN, LUDLOW, KY 41016-1715
(513) 470-2777
Mailing address
405 SOUTHWIND LN, LUDLOW, KY 41016-1715
(513) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01072116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000804952
ANTHEM BCBS
IN
05
—
200388530
—
IN
05
—
64053101
—
KY
Enumeration date
06/06/2006
Last updated
05/20/2025
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