Organization
MADISON COUNTY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED SHAH M.D (PHYSICIAN)
(606) 226-8466
Entity
Organization
Contact information
Practice address
946 COMMERCIAL DR, UNIT 3, RICHMOND, KY 40475-3431
(859) 624-0074
(859) 624-0071
Mailing address
2212 CARRINGTON CT, LEXINGTON, KY 40513-1234
(859) 624-0074
(859) 624-0071
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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