Individual
DR. SHADI ABDELRAZEQ QASEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Mailing address
800 ROSE ST # MS 117, LEXINGTON, KY 40536-0298
(859) 323-5425
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50761
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910025
—
NC
Enumeration date
05/23/2007
Last updated
06/04/2019
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