Organization
BLUEGRASS RENAL CARE, PSC
Active
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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