TRI-STATE VASCULAR GROUP PSC NPI 1649217910

NPI Information

TRI-STATE VASCULAR GROUP, PSC is a specialist in Ashland, KY. The provider is 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. TRI-STATE VASCULAR GROUP, PSC NPI is 1649217910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2301 LEXINGTON AVE
SUITE 230
ASHLAND, KY
ZIP 41101-873
Phone: (606) 326-1675
Fax: (606) 326-1436

The provider's authorized official is Omran Riad Abul-khoudoud .
The authorized official title is President/vascular Surgeon and has the following contact phone number (606) 326-1675.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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