Individual
DR. JAHAN DAVID MIREMAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 TRILLIUM WAY STE 301, CORBIN, KY 40701-8426
(606) 526-7363
Mailing address
456 OLDHAM AVE, LEXINGTON, KY 40502-2113
(606) 271-8845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
53849
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2015
Last updated
12/04/2020
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