Provider Demographics
NPI:1528067733
Name:OGHIA, HANY M (MD)
Entity type:Individual
Prefix:
First Name:HANY
Middle Name:M
Last Name:OGHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9466
Mailing Address - Country:US
Mailing Address - Phone:606-666-6230
Mailing Address - Fax:606-666-6118
Practice Address - Street 1:726 HIGHWAY 15 N
Practice Address - Street 2:SUITE 5
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-8601
Practice Address - Country:US
Practice Address - Phone:606-693-0116
Practice Address - Fax:606-693-0118
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY25492208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYA62837Medicare UPIN
KY0384406Medicare PIN
KY0961901Medicare PIN