| Louisville Ctr For Interventional Gastroenterology | |
|
225 Abraham Flexner Way Louisville KY 40202-1882 | |
| (502) 754-2888 | |
| (502) 560-5225 |
| Full Name | Louisville Ctr For Interventional Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 Abraham Flexner Way, Louisville, Kentucky |
| Authorized Official Name and Position | Hassan Fadl Dawas (PRESIDENT) |
| Authorized Official Contact | 6147079342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Ctr For Interventional Gastroenterology 7908 Cincinnati Dayton Rd Ste B West Chester OH 45069-6628 Ph: () - | Louisville Ctr For Interventional Gastroenterology 225 Abraham Flexner Way Louisville KY 40202-1882 Ph: (502) 754-2888 |
| NPI Number | 1538877055 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 3476923327 |
|---|---|
| Medicare Enrollment ID | O20230110002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538877055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Muhammad-hani F Dawwas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225404775 PECOS PAC ID: 3173824000 Enrollment ID: I20151218002053 |
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