Individual
DR. DRISS RAISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, HX319D, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-4457
Mailing address
800 ROSE ST, HX319D, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-4457
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
46524
KY
2085R0204X
Vascular & Interventional Radiology Physician
TP329
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528252525
NPI
KY
Enumeration date
09/02/2007
Last updated
08/04/2014
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