| Allahham Clinic, Pllc | |
|
1000 E Lexington Ave Suite 25 Danville KY 40422-9042 | |
| (859) 236-7756 | |
| (859) 236-7209 |
| Full Name | Allahham Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1000 E Lexington Ave, Danville, Kentucky |
| Authorized Official Name and Position | John H. Allahham (OWNER) |
| Authorized Official Contact | 8592367756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allahham Clinic, Pllc Po Box 23 Danville KY 40423-0023 Ph: (859) 236-7756 | Allahham Clinic, Pllc 1000 E Lexington Ave Suite 25 Danville KY 40422-9042 Ph: (859) 236-7756 |
| NPI Number | 1255579009 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255579009 | NPI | - | NPPES |
| 64008451 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30090 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 30090 (Kentucky) | Primary |
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