Organization
NEERAJ MAHBOOB INTERNAL MEDICINE PSC
Active
Organization
NEERAJ MAHBOOB INTERNAL MEDICINE PSC
Active
Other names
Medical Associates of Southeast Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJ MAHBOOB MD (OWNER/PHYSICIAN)
(606) 599-0169
Entity
Organization
Contact information
Practice address
515 MEMORIAL DR, STE 3, MANCHESTER, KY 40962-9157
(606) 599-0864
(606) 599-0869
Mailing address
515 MEMORIAL DR, STE 3, MANCHESTER, KY 40962-9157
(606) 599-0864
(606) 599-0869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
700127
KY
261QR1300X
Rural Health Clinic/Center
Primary
900231
KY
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-8900
MEDICARE RURAL HEALTH PROVIDER NUMBER
KY
05
—
31-000797
—
KY
05
—
7100137660
—
KY
Enumeration date
08/11/2006
Last updated
02/12/2026
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