Provider Demographics
NPI:1710051479
Name:ALBAREE, MOUHAMED A (MD)
Entity Type:Individual
Prefix:
First Name:MOUHAMED
Middle Name:A
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 1:906 EAST MOUNTAIN PARKWAY
Practice Address - Street 2:
Practice Address - City:SALYERSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41465
Practice Address - Country:US
Practice Address - Phone:606-349-8100
Practice Address - Fax:606-349-8150
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29137207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
35001957OtherRURAL HEALTH MEDICAID
183941OtherRURAL HEALTH MEDICARE
KY64291370Medicaid
P00244477OtherRAILROAD MEDICARE
P00244477OtherRAILROAD MEDICARE
KY0975701Medicare ID - Type Unspecified