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Individual

JOHONGIR M MURADOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 HOPKINSVILLE ST, GREENVILLE, KY 42345-1102
(270) 377-2440
(270) 377-2441
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50347
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100310650
KY
Enumeration date
04/09/2013
Last updated
02/01/2022
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