Organization
BASSEM ADIE MD PLLC
Active
Organization
BASSEM ADIE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEM ADIE M.D. (OWNER PRIMARY PHYSICIAN)
(606) 723-0122
Entity
Organization
Contact information
Practice address
133 MAIN ST, IRVINE, KY 40336-1084
(606) 723-0122
Mailing address
133 MAIN ST, IRVINE, KY 40336-1084
(606) 723-0122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046044
BLUE CROSS
KY
05
—
64001738
—
KY
Enumeration date
10/17/2006
Last updated
08/22/2020
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