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Individual

ASHRAF AZEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(865) 291-3228
Mailing address
111 BLAIR ST, PIKEVILLE, KY 41501-1643

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34208
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64093677
KY
05
64342082
KY
Enumeration date
05/26/2006
Last updated
07/20/2007
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