MEDICARE: DR. OMRAN RIAD ABUL-KHOUDOUD MD, FACS, RVT

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
1	2086S0129X	Vascular Surgery Physician	35.093617	OH
2	2086S0129X	Vascular Surgery Physician	40007	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000777096	OTHER	KY	ANTHEM BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7499265	OTHER	KY	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083664254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMRAN RIAD ABUL-KHOUDOUD MD, FACS, RVT

Provider Business Mailing Address
First Line	:	PO BOX 2379
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41105-2379
Country	:	US
Telephone Number	:	606-326-1675
Fax Number	:	606-326-1436

Provider Business Practice Location Address
First Line	:	613 23RD ST STE 520
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41101-2878
Country	:	US
Telephone Number	:	606-326-1675
Fax Number	:	606-326-1436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/19/2024

Similar Medicare Providers

1063076388 — HEATHER JASMINE HOLTON APRN
Practice Location Address:

613 23RD ST STE 510
ASHLAND, KY
41101-2878

Practice Phone: 606-329-9335
Practice Fax: 606-324-6383

1265401566 — DR. ERIC H BRONSTEIN M.D.
Practice Location Address:

613 23RD ST , SUITE 210
ASHLAND, KY
41101-2878

Practice Phone: 606-326-9847
Practice Fax: 606-326-3418

1790744548 — TINA M SIAS MD
Practice Location Address:

613 23RD ST , SUITE G-10
ASHLAND, KY
41101-2878

Practice Phone: 606-329-1997
Practice Fax: 606-329-1227

1770545469 — DR. MALCOLM A KING M.D.P.S.C.
Practice Location Address:

613 23RD ST , SUITE 230
ASHLAND, KY
41101-2878

Practice Phone: 606-324-4745
Practice Fax: 606-324-4941

1447217328 — DR. PHO M. NGUYEN M.D.
Practice Location Address:

613 23RD ST STE 520
ASHLAND, KY
41101-2878

Practice Phone: 606-393-0190
Practice Fax: 606-393-5169

1306892559 — RODERICK J. TOMPKINS JR. M.D.
Practice Location Address:

613 23RD ST , SUITE 440
ASHLAND, KY
41101-2878

Practice Phone: 606-329-2888
Practice Fax: 606-329-2890

Directions to “ DR. OMRAN RIAD ABUL-KHOUDOUD MD, FACS, RVT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.