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NPI Code Detail

MEDICARE: DR. JAMAL MERHY M.D.

MEDICARE:  DR. JAMAL  MERHY  M.D.
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
1174400000XSpecialist
2207RE0101XEndocrinology, Diabetes & Metabolism Physician35700KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00424672OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1720039332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMAL MERHY M.D.
Provider Business Mailing Address
First Line : 2301 LEXINGTON AVENUE, SUITE 220
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2873
Country : US
Telephone Number : 606-327-0055
Fax Number : 606-327-0054
Provider Business Practice Location Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-2232
Fax Number : 859-257-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 05/25/2023

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