MEDICARE: DR. HAZEM EL-BILBEISI 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
1	207R00000X	Internal Medicine Physician	33297	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

General Provider Information

NPI Number	:	1841251543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAZEM EL-BILBEISI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1125
Second Line	:
City	:	CORBIN
State	:	KY
Zip	:	40702-1125
Country	:	US
Telephone Number	:	606-528-0283
Fax Number	:	606-528-8422

Provider Business Practice Location Address
First Line	:	1400 CUMBERLAND FALLS HWY
Second Line	:
City	:	CORBIN
State	:	KY
Zip	:	40701-2739
Country	:	US
Telephone Number	:	606-258-8787
Fax Number	:	606-258-8788

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	07/08/2007

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