| Preston Urgent Care, Inc | |
|
4822 Preston Hwy Louisville KY 40213-2226 | |
| (502) 969-2227 | |
| (502) 587-0390 |
| Full Name | Preston Urgent Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4822 Preston Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Misha Haq (MD) |
| Authorized Official Contact | 5029692227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Urgent Care, Inc 4822 Preston Hwy Louisville KY 40213-2226 Ph: (502) 969-2227 | Preston Urgent Care, Inc 4822 Preston Hwy Louisville KY 40213-2226 Ph: (502) 969-2227 |
| NPI Number | 1780115998 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 11/21/2019 |
| Medicare PECOS PAC ID | 1658658240 |
|---|---|
| Medicare Enrollment ID | O20170509001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780115998 | NPI | - | NPPES |
| 33462 | Other | KY | MEDICAL LICENSE # |
| 32576 | Other | KY | MEDICAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33462 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 32576 (Kentucky) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Akasha Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730252453 PECOS PAC ID: 7012072259 Enrollment ID: I20090223000133 |
| Provider Name | Abdul Haq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922171636 PECOS PAC ID: 9133372451 Enrollment ID: I20130116000275 |
| Provider Name | Melissa S Chesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356826903 PECOS PAC ID: 6800120395 Enrollment ID: I20190703001918 |
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