MEDICARE: HANY M OGHIA 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
1	208800000X	Urology Physician	25492	KY

General Provider Information

NPI Number	:	1528067733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANY M OGHIA MD

Provider Business Mailing Address
First Line	:	200 MEDICAL CENTER DR
Second Line	:
City	:	HAZARD
State	:	KY
Zip	:	41701-9466
Country	:	US
Telephone Number	:	606-666-6230
Fax Number	:	606-666-6118

Provider Business Practice Location Address
First Line	:	726 HIGHWAY 15 N
Second Line	:	SUITE 5
City	:	JACKSON
State	:	KY
Zip	:	41339-8601
Country	:	US
Telephone Number	:	606-693-0116
Fax Number	:	606-693-0118

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	05/03/2017

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Directions to “ HANY M OGHIA MD” Practice Location

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