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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1083664254 NPPES
Kentucky MEDICAID 64062821
Kentucky Other 000000777096
Kentucky MEDICAID 2645436
Kentucky Other 7499265
Kentucky MEDICAID 3810006163

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