Provider Demographics
NPI:1467593418
Name:SEREMET, VEDAD (MD)
Entity Type:Individual
Prefix:DR
First Name:VEDAD
Middle Name:
Last Name:SEREMET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 NORTON COMMONS BLVD
Mailing Address - Street 2:UNIT B
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-7522
Mailing Address - Country:US
Mailing Address - Phone:502-618-2472
Mailing Address - Fax:502-618-2479
Practice Address - Street 1:9501 NORTON COMMONS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-7522
Practice Address - Country:US
Practice Address - Phone:502-618-2472
Practice Address - Fax:502-618-2479
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY40638207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00449273OtherRAILROAD MEDICARE
KYP00449273OtherRAILROAD MEDICARE
KY0998867Medicare PIN
INI73677Medicare UPIN