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Contact Information

WADDAH YAACOUBAGHA, MD
1055 DOVE RUN RD
SUITE 200
LEXINGTON, KY40502
 Phone: 859-269-4668
 Fax: 859-266-5577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WADDAH YAACOUBAGHA · (Male)

NPI # 1477527364
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 11/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 36958
Hospital affiliation(s)
  • CENTRAL BAPTIST HOSPITAL - (Acute Care)
    1740 NICHOLASVILLE ROAD
    LEXINGTON, KY 40503
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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