| Kentucky Gastroenterology Psc | |
|
793 Eastern Byp Suite 216 Richmond KY 40475-2422 | |
| (859) 625-0900 | |
| (859) 625-0995 |
| Full Name | Kentucky Gastroenterology Psc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 793 Eastern Byp, Richmond, Kentucky |
| Authorized Official Name and Position | Nadeem A Khan (OWNER) |
| Authorized Official Contact | 8596250900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Gastroenterology Psc 793 Eastern Byp Suite 216 Richmond KY 40475-2422 Ph: (859) 625-0900 | Kentucky Gastroenterology Psc 793 Eastern Byp Suite 216 Richmond KY 40475-2422 Ph: (859) 625-0900 |
| NPI Number | 1093971541 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 01/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093971541 | NPI | - | NPPES |
| 000000579699 | Other | KY | ANTHEM BCBS |
| 64333818 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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