Tri-State Vascular Group, Psc in Ashland - Specialist
Tri-State Vascular Group, Psc - NPI 1649217910
Tri-State Vascular Group, Psc is a Specialist in Ashland, Kentucky. Tri-State Vascular Group, Psc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tri-State Vascular Group, Psc is 1649217910. The last update date is 2008-04-20.
Tri-State Vascular Group, Psc's current location address is Po Box 149, Ashland, Kentucky. You can contact this provider via phone number 6063261675 and fax number 6063261436. The mailing address for Tri-State Vascular Group, Psc is Po Box 149, Ashland, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-State Vascular Group, Psc |
|---|---|
| Address | Po Box 149, Ashland, Kentucky |
| Phone Number | 6063261675 |
| Fax Number | 6063261436 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Abul-Khoudoud Riad Omran |
| Credentials | M.D. |
| Telephone Number | 6063261675 |
NPI Number Detail
| NPI Number | 1649217910 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | Po Box 149 |
|---|---|
| City | Ashland |
| State | Kentucky (KY) |
| Post Code | 411050149 |
| Phone Number | 6063261675 |
| Fax Number | 6063261436 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 40007 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 484792 | KY | BLUE CROSS BLUE SHIELD | |
| 7499265 | KY | AETNA | |
| 65945495 | KY | -- | |
| 2645436 | OH | -- | |
| DF0183 | KY | MEDICARE RR |
Post Comment/ Review Below
What is the Tri-State Vascular Group, Psc's 1649217910?
The Tri-State Vascular Group, Psc's NPI (National Provider Identifier) Number is 1649217910. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tri-State Vascular Group, Psc's facilities are situated?
The facilities of Tri-State Vascular Group, Psc are physically located at the following address: Po Box 149, Ashland, KY, 411050149.
What is the Tri-State Vascular Group, Psc's area of specialization and corresponding taxonomy classification?
The Tri-State Vascular Group, Psc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Tri-State Vascular Group, Psc receive its 1649217910?
The Tri-State Vascular Group, Psc was issued its 1649217910 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
When was the information related to Tri-State Vascular Group, Psc most recently updated or refreshed?
The details pertaining to the Tri-State Vascular Group, Psc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-20.