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Individual

ENDASHAW MAHMUD OMER

Active
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Individual

ENDASHAW MAHMUD OMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45380
KY
207RG0100X
Gastroenterology Physician
Primary
45380
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201305190
IN
05
7100355500
KY
Enumeration date
05/07/2009
Last updated
02/14/2017
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