Bassem Adie Md Pllc | |
133 Main St Irvine KY 40336-1084 | |
(606) 723-0122 | |
Not Available |
Full Name | Bassem Adie Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 133 Main St, Irvine, Kentucky |
Authorized Official Name and Position | Bassem Adie (OWNER PRIMARY PHYSICIAN) |
Authorized Official Contact | 6067230122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bassem Adie Md Pllc 133 Main St Irvine KY 40336-1084 Ph: (606) 723-0122 | Bassem Adie Md Pllc 133 Main St Irvine KY 40336-1084 Ph: (606) 723-0122 |
NPI Number | 1467532002 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467532002 | NPI | - | NPPES |
000000046044 | Other | KY | BLUE CROSS |
64001738 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 33306 (Kentucky) | Primary |
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