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NPI Code Detail

MEDICARE: DR. SALAHADIN M GHARAD MD

MEDICARE: DR. SALAHADIN M GHARAD MD
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 Physician28979KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
228979OTHERLICENSE

General Provider Information

NPI Number : 1174589659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALAHADIN M GHARAD MD
Provider Business Mailing Address
First Line : 226 MEDICAL PLAZA LN
Second Line : SUITE C
City : WHITESBURG
State : KY
Zip : 41858-7425
Country : US
Telephone Number : 606-633-2273
Fax Number : 606-633-6204
Provider Business Practice Location Address
First Line : 226 MEDICAL PLAZA LN
Second Line : SUITE C
City : WHITESBURG
State : KY
Zip : 41858-7425
Country : US
Telephone Number : 606-633-2273
Fax Number : 606-633-6204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 05/03/2017

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