Abul-Khoudoud, Omran Riad
Abul-Khoudoud, Omran Riad is an individual health care provider with primary practice located at 613 23Rd St Ste 520 , Ashland KY 41101-2878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Abul-Khoudoud, Omran Riad can be contacted via phone (606) 326-1675.Contact Information
Primary practice address
613 23Rd St Ste 520
Ashland KY 41101-2878
Phone: (606) 326-1675
Fax: (606) 326-1436
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35.093617 | Ohio |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 40007 | Kentucky |
Profile Details
NPI number | 1083664254 |
---|---|
LBN Legal business name | Abul-Khoudoud, Omran Riad |
Credentials | MD, FACS, RVT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Jan 19th, 2024 - about 10 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083664254 | NPPES |
Kentucky | MEDICAID | 64062821 | |
Kentucky | Other | 000000777096 | |
Kentucky | MEDICAID | 2645436 | |
Kentucky | Other | 7499265 | |
Kentucky | MEDICAID | 3810006163 |
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