Individual
USAMA TALIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-6047
(859) 257-3873
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2768
(978) 741-1200
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
55398
KY
208M00000X
Hospitalist Physician
TP970
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
06/29/2021
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