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Individual

BAHAAELDEEN SENOUSY MOHAMMED ISMAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-3609
(859) 323-0079
Mailing address
UK DIVISION OF DIGESTIVE DISEASES, 800 ROSE ST., MN654, LEXINGTON, KY 40536

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50253
KY
207RG0100X
Gastroenterology Physician
Primary
50253
KY

Other

Enumeration date
07/28/2011
Last updated
09/11/2017
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