| Dr. Kusum T Nigam Internal Medicine Pllc | |
|
4402 Churchman Ave Suite 410 Louisville KY 40215-1190 | |
| (502) 367-6322 | |
| (502) 360-3843 |
| Full Name | Dr. Kusum T Nigam Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4402 Churchman Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Kusum T Nigam (OWNER) |
| Authorized Official Contact | 5023676322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kusum T Nigam Internal Medicine Pllc 4402 Churchman Ave Suite 410 Louisville KY 40215-1190 Ph: (502) 367-6322 | Dr. Kusum T Nigam Internal Medicine Pllc 4402 Churchman Ave Suite 410 Louisville KY 40215-1190 Ph: (502) 367-6322 |
| NPI Number | 1891863486 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 2062472004 |
|---|---|
| Medicare Enrollment ID | O20041014000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891863486 | NPI | - | NPPES |
| Provider Name | Kusum T Nigam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386683167 PECOS PAC ID: 5193713659 Enrollment ID: I20040506000473 |
| Provider Name | Marylynn K Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669704110 PECOS PAC ID: 2264454339 Enrollment ID: I20060104000058 |
| Provider Name | Heidi A Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104807189 PECOS PAC ID: 0042465809 Enrollment ID: I20130227000418 |
| Provider Name | Cynthia Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629523048 PECOS PAC ID: 9830485697 Enrollment ID: I20160906001061 |
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