Provider Demographics
NPI:1093776841
Name:LABATIA, IHAB YOUSSEF (MD)
Entity Type:Individual
Prefix:DR
First Name:IHAB
Middle Name:YOUSSEF
Last Name:LABATIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 LANE ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3605
Mailing Address - Country:US
Mailing Address - Phone:859-523-5300
Mailing Address - Fax:859-523-5855
Practice Address - Street 1:853 LANE ALLEN RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3605
Practice Address - Country:US
Practice Address - Phone:859-523-5300
Practice Address - Fax:859-523-5855
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY49262208100000X, 2081P0004X, 208VP0000X, 208VP0014X
TN431402081P0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100135480Medicaid
TN4179314OtherBCBS
TN1514419Medicaid
TN3001372Medicare PIN
KY7100135480Medicaid