Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38725 | KY |
N | 111NI0900X | Internist | 38725 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 38725 | KY |
N | 207RI0011X | Interventional Cardiology | 38725 | KY |
NPI | 1073520128 |
---|---|
Provider Name | Khaled M. Ziada |
First Address | Lexington, KY 40536-0200 |
Second Address | Lexington, KY 40536-0093 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 19/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64088933 | (05) | KY |
I23534 | (02) |