Organization
HOSPITALISTS OF THE BLUEGRASS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADDAH YAACOUBAGHA M.D. (PRESIDENT/OWNER)
(859) 913-9900
Entity
Organization
Contact information
Practice address
1740 NICHOLASVILLE RD, BAPTIST HEALTH HOSPITAL, LEXINGTON, KY 40503-1431
(859) 309-8800
(859) 966-2594
Mailing address
100 WINDRIDGE DR, NICHOLASVILLE, KY 40356-8029
(859) 309-8800
(859) 966-2594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36958
KY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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