Mohammad K Gayasaddin

LBN: Mohammad K Gayasaddin
Mohammad K Gayasaddin is an health care organization with primary practice located at 914 N Dixie Ave Ste 301 , Elizabethtown KY 42701-2515. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mohammad K Gayasaddin can be contacted via phone (270) 765-2220, or through Gayasaddin, Mohammad K via phone (270) 765-2220.

Contact Information

Primary practice address
914 N Dixie Ave Ste 301 Elizabethtown KY 42701-2515
Phone: (270) 765-2220
Fax: (270) 765-2226
Website:
Map and Directions
Authorized official contact:
Name: Gayasaddin, Mohammad K Doctor of Medicine (MD)
Phone: (270) 765-2220

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39269 Kentucky

Profile Details

NPI number 1114176682
LBN Legal business name Mohammad K Gayasaddin
DBA Doing business as Mohammad K Gayasaddin
Authorized official Gayasaddin, Mohammad K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated Sep 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114176682 NPPES
Kentucky MEDICAID 64092166

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