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NPI Code Detail

MEDICARE: ASHRAF AZEB MD

MEDICARE: ASHRAF AZEB 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
1207P00000XEmergency Medicine Physician34208KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902852049
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHRAF AZEB MD
Provider Business Mailing Address
First Line : 111 BLAIR ST
Second Line :
City : PIKEVILLE
State : KY
Zip : 41501-1643
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 MARIE LANGDON DR
Second Line :
City : MANCHESTER
State : KY
Zip : 40962-6388
Country : US
Telephone Number : 606-598-5104
Fax Number : 865-291-3228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/20/2007

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