Abul-Khoudoud, Hassan R

Abul-Khoudoud, Hassan R is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abul-Khoudoud, Hassan R can be contacted via phone (606) 408-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Fax: (606) 408-6825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8187 North Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.099715 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43760 Kentucky

Profile Details

NPI number 1033255112
LBN Legal business name Abul-Khoudoud, Hassan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Nov 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033255112 NPPES
Kentucky MEDICAID 7100126920
Kentucky MEDICAID 3073365
Kentucky MEDICAID 3810018258

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