| Chestnut Health Of Kentucky Pllc | |
|
900 Gagel Ave Louisville KY 40216-4012 | |
| (502) 368-5827 | |
| (703) 649-6188 |
| Full Name | Chestnut Health Of Kentucky Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Gagel Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Omair Siraj (OWNER) |
| Authorized Official Contact | 7039648199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Health Of Kentucky Pllc Po Box 915 Bedford Park IL 60499-0915 Ph: (703) 964-8199 | Chestnut Health Of Kentucky Pllc 900 Gagel Ave Louisville KY 40216-4012 Ph: (502) 368-5827 |
| NPI Number | 1902645518 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902645518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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