MEDICARE: ASAD K JADOON 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	174400000X	Specialist	32580	KY
2	207RC0000X	Cardiovascular Disease Physician	32580	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	:	1932101771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASAD K JADOON MD

Provider Business Mailing Address
First Line	:	1042 CENTER DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-625-1723
Fax Number	:	859-625-5414

Provider Business Practice Location Address
First Line	:	1042 CENTER DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-625-1723
Fax Number	:	859-625-5414

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	05/08/2014

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