Basic Information
| Provider Information | |||||||||
| NPI: | 1518138759 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATIQ | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | IRFAN | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1401 HARRODSBURG RD STE C335 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405041791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592765355 | ||||||||
| FaxNumber: | 8592771843 | ||||||||
| Practice Location | |||||||||
| Address1: | 1401 HARRODSBURG RD STE C335 | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405041791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592765355 | ||||||||
| FaxNumber: | 8592771843 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2008 | ||||||||
| LastUpdateDate: | 02/10/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 54483 | WI | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RN0300X | 48459 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.