Infectious Disease Specialists Llc | |
205 Locust Creek Blvd Louisville KY 40245-6203 | |
(502) 916-3130 | |
(502) 916-3230 |
Full Name | Infectious Disease Specialists Llc |
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Speciality | Internal Medicine |
Location | 205 Locust Creek Blvd, Louisville, Kentucky |
Authorized Official Name and Position | Kamran Akhtar (OWNER) |
Authorized Official Contact | 5029163130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Disease Specialists Llc Po Box 249 Eastwood KY 40018-0249 Ph: (502) 916-3130 | Infectious Disease Specialists Llc 205 Locust Creek Blvd Louisville KY 40245-6203 Ph: (502) 916-3130 |
NPI Number | 1023603073 |
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Provider Enumeration Date | 03/02/2021 |
Last Update Date | 12/13/2022 |
Medicare PECOS PAC ID | 6406262401 |
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Medicare Enrollment ID | O20210316001989 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023603073 | NPI | - | NPPES |
Provider Name | Kamran Akhtar |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1669486346 PECOS PAC ID: 9335131762 Enrollment ID: I20040721000208 |
Provider Name | Jennifer N Caple |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366172710 PECOS PAC ID: 4082090998 Enrollment ID: I20221003000573 |
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