| Midwest Internal Medicince P.s.c | |
|
250 E Liberty St Ste 200 Louisville KY 40202-1534 | |
| (502) 568-6722 | |
| (502) 568-6733 |
| Full Name | Midwest Internal Medicince P.s.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 E Liberty St Ste 200, Louisville, Kentucky |
| Authorized Official Name and Position | Nuzhat A Hasan (C.E.O) |
| Authorized Official Contact | 5025686722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Internal Medicince P.s.c 250 E Liberty St Ste 200 Louisville KY 40202-1534 Ph: (502) 568-6722 | Midwest Internal Medicince P.s.c 250 E Liberty St Ste 200 Louisville KY 40202-1534 Ph: (502) 568-6722 |
| NPI Number | 1811902570 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 09/18/2013 |
| Medicare PECOS PAC ID | 7618881350 |
|---|---|
| Medicare Enrollment ID | O20031117000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811902570 | NPI | - | NPPES |
| 64016033 | Medicaid | KY | |
| DA0912 | Other | KY | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Nuzhat Hasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730167230 PECOS PAC ID: 2961315965 Enrollment ID: I20031106000407 |
| Provider Name | Rafi A Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700864329 PECOS PAC ID: 6305750043 Enrollment ID: I20100726000313 |
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