Provider Demographics
NPI:1538114830
Name:BIBI, ZOUHAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZOUHAIR
Middle Name:
Last Name:BIBI
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 1:2200 EAST PARRISH AVENUE
Mailing Address - Street 2:BLDG. E, SUITE 101
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1449
Mailing Address - Country:US
Mailing Address - Phone:270-852-1655
Mailing Address - Fax:270-852-1654
Practice Address - Street 1:2200 E. PARRISH AVENUE
Practice Address - Street 2:BLDG. E, SUITE 101
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-852-1655
Practice Address - Fax:270-852-1654
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40781207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50013622OtherPASSPORT
KY2807559000OtherPASSPORT ADVANTAGE
KY000000507013OtherANTHEM
KY50013622OtherPASSPORT
KYF87437Medicare UPIN
KY50013622OtherPASSPORT