Individual
MR. AUGUSTO T ABAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 HOSPITAL DR, SUITE 202C, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1011
(606) 237-3914
Mailing address
775 TURKEY CREEK RD, TURKEY CREEK, KY 41514-7901
(606) 237-3914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17537
WV
174400000X
Specialist
Primary
30215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075313
BLUE CROSS BLUE SHIELD
KY
05
—
0076568000
—
WV
01
—
110196006
RAILROAD MEDICARE
KY
01
—
257029
HEALTHLINK
KY
05
—
64215031
—
KY
Enumeration date
06/16/2006
Last updated
05/12/2008
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