Muradov, Johongir M

Muradov, Johongir M is an individual health care provider with primary practice located at 420 Hopkinsville St , Greenville KY 42345-1102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Muradov, Johongir M can be contacted via phone (270) 377-2440.

Contact Information

Primary practice address
420 Hopkinsville St Greenville KY 42345-1102
Phone: (270) 377-2440
Fax: (270) 377-2441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 50347 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1528401502
LBN Legal business name Muradov, Johongir M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Feb 1st, 2022 - 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 1528401502 NPPES
Kentucky MEDICAID 7100310650

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