Individual
SOPHIA T HALEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 327-4000
(260) 407-8004
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02878
KY
207P00000X
Emergency Medicine Physician
34.012480
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64099542
RAIL ROAD
IN
05
—
64099542
—
KY
Enumeration date
07/09/2006
Last updated
04/20/2023
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