Healthcare Provider Details

I. General information

NPI: 1891038469
Provider Name (Legal Business Name): KARAM AYOUB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST
LEXINGTON KY
40536-7101
US

IV. Provider business mailing address

900 S. LIMESTONE,CTW 326
LEXINGTON KY
40536
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-0295
  • Fax: 859-323-1256
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-9292
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number49927
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number49927
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: