Basic Information
| Provider Information | |||||||||
| NPI: | 1992146302 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BENRAJAB | ||||||||
| FirstName: | KARIM | ||||||||
| MiddleName: | MUSTAFA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | UK DIVISION OIF DIGESTIVE DISEASES 800 ROSE | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593230079 | ||||||||
| FaxNumber: | 8592579287 | ||||||||
| Practice Location | |||||||||
| Address1: | UK DIVISION OIF DIGESTIVE DISEASES 800 ROSE | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405366800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593230079 | ||||||||
| FaxNumber: | 8592579287 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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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 | 207R00000X | 50176 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0008X | 50176 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hepatology |
No ID Information.