Gayasaddin, Mohammad K
Gayasaddin, Mohammad K is an sole proprietor health care provider with primary practice located at 914 N Dixie Ave Suite 301, Elizabethtown KY 42701-2520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gayasaddin, Mohammad K can be contacted via phone (270) 765-2220.Contact Information
Primary practice address
914 N Dixie Ave Suite 301
Elizabethtown KY 42701-2520
Phone: (270) 765-2220
Fax: (270) 765-2226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 39269 | Kentucky |
Profile Details
| NPI number | 1508859315 |
|---|---|
| LBN Legal business name | Gayasaddin, Mohammad K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jan 12th, 2010 - about 16 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 | 1508859315 | NPPES |
| Kentucky | MEDICAID | 6409216600 |
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