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Individual

HISHAM HIRZALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57100
KY
207RC0000X
Cardiovascular Disease Physician
57100
KY
207RI0011X
Interventional Cardiology Physician
Primary
57100
KY

Other

Enumeration date
06/22/2016
Last updated
06/29/2023
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