| Internal Medicine Consultants, Pllc | |
|
234 E Gray St Ste 670 Louisville KY 40202-1901 | |
| (502) 629-4525 | |
| (502) 629-4529 |
| Full Name | Internal Medicine Consultants, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 234 E Gray St Ste 670, Louisville, Kentucky |
| Authorized Official Name and Position | Juan G Polo (DIRECTOR) |
| Authorized Official Contact | 5026294525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Consultants, Pllc 234 E Gray St Ste 670 Louisville KY 40202-1901 Ph: (502) 629-4525 | Internal Medicine Consultants, Pllc 234 E Gray St Ste 670 Louisville KY 40202-1901 Ph: (502) 629-4525 |
| NPI Number | 1568613321 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568613321 | NPI | - | NPPES |
| 200489040 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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