Obada Alhourani, MBBS
Individual provider Active NPI Neuroradiology Physician · Lexington, KY
NPI 1124885447 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1124885447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neuroradiology Physician 2085N0700X
- License
- FT668 (KY)
- Practice address
- 800 Rose St RM HX-315
Lexington, KY 40536-7001 - Phone
- (859) 323-5291
- NPI assigned
- Mar 4, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251113001549 | KY | Order and Referring Only - Diagnostic Radiology |
6406347889 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FT668 | KY | MD | Neuroradiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | FT668 | KY | Yes |
Addresses
Primary practice location
800 Rose St RM HX-315
Lexington, KY 40536-7001
Mailing address
800 Rose St RM HX-315
Lexington, KY 40536-0293
Phone (859) 323-5291
Other providers in Lexington, KY
- Naba Alfatlawy
- Alexa Alfred
- Ali Alghayeb
- Ali Muhammed Hussein S. Alhaidary
- Sana Ahmed Alhajri
- Alysha Ali
- Amr Ali
- Brittany Coleman Ali
- Dina Ali
- Hadeel Amjad Ali
All providers in Lexington, KY · Neuroradiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.