Healthcare Provider Details

I. General information

NPI: 1720039332
Provider Name (Legal Business Name): JAMAL MERHY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 HARRODSBURG RD STE 125
LEXINGTON KY
40504-3543
US

IV. Provider business mailing address

2301 LEXINGTON AVENUE, SUITE 220
ASHLAND KY
41101-2873
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-2232
  • Fax: 859-257-1078
Mailing address:
  • Phone: 606-327-0055
  • Fax: 606-327-0054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35700
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: