Individual
MOHAMAD R ABUL-KHOUDOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1532 LONE OAK RD STE 345, PADUCAH, KY 42003-7942
(270) 415-4150
Mailing address
1532 LONE OAK RD STE 340, PADUCAH, KY 42003-7942
(270) 415-4150
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36305
KY
207RP1001X
Pulmonary Disease Physician
Primary
36305
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
36305
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64960834
—
KY
Enumeration date
02/17/2006
Last updated
03/02/2023
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