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Individual

GHIAS MOHAMAD ARAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13806 LAKE POINT CIR, SUITE 101, LOUISVILLE, KY 40223-4222
(502) 254-4014
(502) 254-4015
Mailing address
PO BOX 23568, LOUISVILLE, KY 40223-0568
(502) 254-4014
(502) 254-4015

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
32411
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052175
ANTHEM BCBS
01
0500150
UNITED HEALTHCARE
01
130019966
RR MEDICARE
01
2435739000
PASSPORT ADVANTAGE GROUP
01
2442006000
PASSPORT ADVANTAGE
01
50000296
PASSPORT
01
5853602
AETNA
05
64324114
KY
Enumeration date
01/12/2007
Last updated
01/15/2014
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