Individual provider · NPI-1
Maen Assali, MD
Internal Medicine, Interventional Cardiology · Pikeville, KY
NPI number1891215596
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1891215596
- Entity type
- Individual (NPI-1)
- Name
- Maen Assali
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2017
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 58161 | KY | Yes |
| 207R00000X | Internal Medicine | LP04130 | RI |
Practice location
911 Bypass Rd Bldg APikeville, KY 41501-1602
Phone 606-430-2201
Mailing address
Po Box 432Pikeville, KY 41502-0432
Phone 606-430-2201
Other practice locations
111 Brewster St
Pawtucket, RI 02860-4474
Pawtucket, RI 02860-4474
Phone 401-729-2258 · Fax 401-729-3343
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