Ailabouni, Luay D

Ailabouni, Luay D is an individual health care provider with primary practice located at 1100 Goethals Drive, 2Nd Floor Kadlec Clinic General & Colorectal Surgery, Richland WA 99352-3304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Ailabouni, Luay D can be contacted via phone (509) 942-3185.

Contact Information

Primary practice address
1100 Goethals Drive, 2Nd Floor Kadlec Clinic General & Colorectal Surgery Richland WA 99352-3304
Phone: (509) 942-3185
Fax: (509) 946-1850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60323856 Washington
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD30623856 Washington

Profile Details

NPI number 1114186459
LBN Legal business name Ailabouni, Luay D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Apr 5th, 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 1114186459 NPPES
Washington Other 0310710 L&I
Washington MEDICAID 500655571 L&I
Washington MEDICAID 1114186459 L&I

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