Provider Demographics
NPI:1952768384
Name:HULOU, MOHAMED MAHER
Entity Type:Individual
Prefix:
First Name:MOHAMED MAHER
Middle Name:
Last Name:HULOU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROSE STREET, UKMC
Mailing Address - Street 2:DEPARTMENT OF NEUROSURGERY, MS110
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536
Mailing Address - Country:US
Mailing Address - Phone:859-323-5661
Mailing Address - Fax:859-323-1127
Practice Address - Street 1:800 ROSE STREET UKMC DEPARTMENT OF NEUROSURGERY MS 110
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-5661
Practice Address - Fax:859-323-1127
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS2016-0551390200000X
KYTP030207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50676OtherKENTUCKY BOARD OF MEDICAL LICENSURE