Provider Demographics
NPI:1518031277
Name:ALBAREE, EYAD (MD)
Entity Type:Individual
Prefix:
First Name:EYAD
Middle Name:
Last Name:ALBAREE
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 1:98 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:CLAY CITY
Mailing Address - State:KY
Mailing Address - Zip Code:40312-1314
Mailing Address - Country:US
Mailing Address - Phone:606-663-7788
Mailing Address - Fax:606-663-7785
Practice Address - Street 1:98 RIVER ST
Practice Address - Street 2:
Practice Address - City:CLAY CITY
Practice Address - State:KY
Practice Address - Zip Code:40312-1314
Practice Address - Country:US
Practice Address - Phone:606-663-7788
Practice Address - Fax:606-663-7785
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
183941OtherRURAL HEALTH MEDICARE
P00241198OtherRAILROAD MEDICARE
35001957OtherRURAL HEALTH MEDICAID
KY64306004Medicaid
F84139Medicare UPIN
183941OtherRURAL HEALTH MEDICARE