Individual
DR. MOHAMMAD ABDUL MOTALIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 S LIMESTONE STREET, LEXINGTON, KY 40536-2389
(859) 218-3206
Mailing address
830 SOUTH LIMESTONE STREET, LEXINGTON, KY 40536-0001
(859) 218-3206
(859) 257-2625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207P00000X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64332240
—
KY
Enumeration date
06/28/2006
Last updated
05/04/2018
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