1205827128 NPI number — DR. NAGY H MORSI M.D.

Table of content: DR. NAGY H MORSI M.D. (NPI 1205827128)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205827128 NPI number — DR. NAGY H MORSI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORSI
Provider First Name:
NAGY
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205827128
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1701 ASHLEY CIR
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
BOWLING GREEN
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42104-5805
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-796-6000
Provider Business Mailing Address Fax Number:
270-796-1915

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1701 ASHLEY CIR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BOWLING GREEN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42104-5805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-796-6000
Provider Business Practice Location Address Fax Number:
270-796-1915
Provider Enumeration Date:
10/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  32513 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 64325137 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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