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NPI Code Detail

MEDICARE: AHMAD ABUARQOUB M.D.

MEDICARE: AHMAD ABUARQOUB M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician53405KY
2207RI0011XInterventional Cardiology Physician53405KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
153405OTHERKYKY MEDICAL LICENSE

General Provider Information

NPI Number : 1568820561
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD ABUARQOUB M.D.
Provider Business Mailing Address
First Line : 245 FLEMINGSBURG RD
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1015
Country : US
Telephone Number : 606-780-5500
Fax Number : 606-783-7735
Provider Business Practice Location Address
First Line : 245 FLEMINGSBURG RD
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1015
Country : US
Telephone Number : 606-780-5500
Fax Number : 606-783-7735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2016
Last Update Date : 01/19/2026

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