Provider Demographics
NPI:1801115522
Name:FIKHMAN, GERMAN S (MD)
Entity type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:S
Last Name:FIKHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JERRY
Other - Middle Name:S
Other - Last Name:FIKHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2119
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42702-2119
Mailing Address - Country:US
Mailing Address - Phone:270-706-5265
Mailing Address - Fax:270-706-5523
Practice Address - Street 1:2411 RING RD STE 105
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5930
Practice Address - Country:US
Practice Address - Phone:270-706-5265
Practice Address - Fax:270-706-5523
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY49517207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology