| Louisville Inpatient Physician Services, Pllc | |
|
4007 Whiteblossom Estates Ct Louisville KY 40241-4182 | |
| (630) 929-3034 | |
| (502) 585-2831 |
| Full Name | Louisville Inpatient Physician Services, Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 4007 Whiteblossom Estates Ct, Louisville, Kentucky |
| Authorized Official Name and Position | Aftab Ahmed (PRESIDENT) |
| Authorized Official Contact | 6309293034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Inpatient Physician Services, Pllc Po Box 950113, Dept# 52398 Louisville KY 40295 Ph: (630) 929-3034 | Louisville Inpatient Physician Services, Pllc 4007 Whiteblossom Estates Ct Louisville KY 40241-4182 Ph: (630) 929-3034 |
| NPI Number | 1083613194 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 01/09/2020 |
| Medicare PECOS PAC ID | 6507854056 |
|---|---|
| Medicare Enrollment ID | O20040504000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083613194 | NPI | - | NPPES |
| 65938250 | Medicaid | KY | |
| CK2474 | Other | KY | RAILROAD MEDICARE KY |
| DF0459 | Other | IN | RAILROAD MEDICARE IND |
| 200406970 A-E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Aftab Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124027719 PECOS PAC ID: 9133117682 Enrollment ID: I20120322000229 |
| Provider Name | Courtney Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518218056 PECOS PAC ID: 8527202555 Enrollment ID: I20130913000130 |
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