Organization
BLUEGRASS RENAL CARE, PSC
Active
Other names
Bluegrass Medical Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD W. DEEB SARA (MD / OWNER)
(859) 263-1717
Entity
Organization
Contact information
Practice address
3229 SUMMIT SQUARE PL STE 240, LEXINGTON, KY 40509-2664
(859) 263-1717
Mailing address
PO BOX 896, WINCHESTER, KY 40392-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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