Abul-Khoudoud, Mohamad R
Abul-Khoudoud, Mohamad R is an individual health care provider with primary practice located at 1532 Lone Oak Rd Ste 345 , Paducah KY 42003-7942. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abul-Khoudoud, Mohamad R can be contacted via phone (270) 415-4150.Contact Information
Primary practice address
1532 Lone Oak Rd Ste 345
Paducah KY 42003-7942
Phone: (270) 415-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 36305 | Kentucky |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 36305 | Kentucky |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 36305 | Kentucky |
Profile Details
| NPI number | 1396710091 |
|---|---|
| LBN Legal business name | Abul-Khoudoud, Mohamad R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Mar 2nd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396710091 | NPPES |
| Kentucky | MEDICAID | 64960834 |
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