| Aak Internal Medicine Pllc | |
|
1 Audubon Plaza Dr Louisville KY 40217-1318 | |
| (502) 742-7062 | |
| Not Available |
| Full Name | Aak Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Audubon Plaza Dr, Louisville, Kentucky |
| Authorized Official Name and Position | Abbas A Khawari (OWNER) |
| Authorized Official Contact | 5024454222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aak Internal Medicine Pllc 9203 Bergamot Dr Prospect KY 40059-6585 Ph: (502) 742-7062 | Aak Internal Medicine Pllc 1 Audubon Plaza Dr Louisville KY 40217-1318 Ph: (502) 742-7062 |
| NPI Number | 1932565314 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 01/22/2020 |
| Medicare PECOS PAC ID | 4587968730 |
|---|---|
| Medicare Enrollment ID | O20160208002117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932565314 | NPI | - | NPPES |
| 201347020 | Medicaid | IN | |
| DW3039 | Other | KY | RAILROAD MEDICARE |
| 7100400190 | Medicaid | KY | |
| 50102201 | Other | KY | PASSPORT HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abbas Khawari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194919159 PECOS PAC ID: 0446283279 Enrollment ID: I20071023000237 |
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