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Individual

MR. MOSTAFA ABDALLA AMR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2101 NICHOLASVILLE RD STE 208, LEXINGTON, KY 40503-2525
(859) 373-1176
(859) 275-0028
Mailing address
PO BOX 910277, LEXINGTON, KY 40591-0277
(859) 373-1176
(859) 275-0028

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37363
KY
207RN0300X
Nephrology Physician
Primary
37363
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64056732
KY
Enumeration date
07/20/2006
Last updated
04/24/2024
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