Provider Demographics
NPI:1093833006
Name:AFFORDABLE HEARING AIDS
Entity Type:Organization
Organization Name:AFFORDABLE HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:IKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-360-0077
Mailing Address - Street 1:1815 N DIXIE HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-9424
Mailing Address - Country:US
Mailing Address - Phone:270-360-0077
Mailing Address - Fax:270-360-9067
Practice Address - Street 1:1815 N DIXIE HWY STE 4
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-9424
Practice Address - Country:US
Practice Address - Phone:270-360-0077
Practice Address - Fax:270-360-9067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0792237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50000082Medicaid