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Organization

SIRAJ HEALTHCARE INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD FATTAL M.D. (OWNER)
(859) 342-4087
Entity
Organization

Contact information

Practice address
3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838
(859) 342-4087
Mailing address
PO BOX 6716, FLORENCE, KY 41022-6716
(859) 342-4087

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/12/2013
Last updated
01/08/2024
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