Healthcare Provider Details

I. General information

NPI: 1770492746
Provider Name (Legal Business Name): MOHAMMED AHMED THABET ALAMELDEEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S LIMESTONE CTW 326
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

00 S LIMESTONE CTW 326
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-8040
  • Fax: 859-323-0295
Mailing address:
  • Phone: 859-323-8040
  • Fax: 859-323-0295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberFT901
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: