Basic Information
Provider Information
NPI: 1518251446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALCHREIKI
FirstName: MAHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 990
Address2:  
City: DANVILLE
State: KY
PostalCode: 404230990
CountryCode: US
TelephoneNumber: 8592395870
FaxNumber: 8592395879
Practice Location
Address1: 216 W WALNUT ST
Address2:  
City: DANVILLE
State: KY
PostalCode: 404221858
CountryCode: US
TelephoneNumber: 8592395870
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2011
LastUpdateDate: 07/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X44353KYY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207R00000X31785OKN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200X31844NEN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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