NPIMap

Organization Active NPI

Abdi Vaezy MD PLLC

  • Pulmonary Disease Physician
  • Corbin, KY
National Provider Identifier
1497943930
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25857 Issued in KY
Legal business name
ABDI VAEZY MD PLLC
Practice address
1708 Forest Dr
Corbin, KY 40701-2327
Phone
(606) 528-0009
Fax
(606) 528-0091
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdi Vaezy, MDNPI 1124009659
Title
Owner
Phone
(606) 528-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 25857 KY Primary

Addresses

Primary practice location

1708 Forest Dr
Corbin, KY 40701-2327

Mailing address

1708 Forest Dr
Corbin, KY 40701-2327
Phone (606) 528-0009

National Provider Directory

National Provider Directory

Locations

1708 Forest Dr
Corbin, KY 40701
Phone (606) 528-0009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1497943930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012327",
            "telephone_number": "606-528-0009",
            "fax_number": "606-528-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012327",
            "telephone_number": "606-528-0009",
            "fax_number": "606-528-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDI VAEZY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "VAEZY",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-528-0009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "25857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.