Khattab, Yassin

Khattab, Yassin is an sole proprietor health care provider with primary practice located at 822 S Mayo Trl , Paintsville KY 41240-1384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khattab, Yassin can be contacted via phone (606) 789-5541.

Contact Information

Primary practice address
822 S Mayo Trl Paintsville KY 41240-1384
Phone: (606) 789-5541
Fax: (606) 789-9445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31556 Kentucky

Profile Details

NPI number 1376650317
LBN Legal business name Khattab, Yassin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Mar 25th, 2013 - about 11 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 1376650317 NPPES
Kentucky Other 000000203757 BLUE CROSS/BLUE SHIELD
Kentucky MEDICAID 31001019 BLUE CROSS/BLUE SHIELD
Kentucky MEDICAID 64315567 BLUE CROSS/BLUE SHIELD
Kentucky MEDICAID 65935025 BLUE CROSS/BLUE SHIELD

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