Pulmonary Care Service Llc | |
720 Hospital Dr Ste 106 Shelbyville KY 40065-1685 | |
(502) 633-1151 | |
Not Available |
Full Name | Pulmonary Care Service Llc |
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Speciality | Internal Medicine - Pulmonary Disease |
Location | 720 Hospital Dr, Shelbyville, Kentucky |
Authorized Official Name and Position | Mhd Haitham Chaker (OWNER) |
Authorized Official Contact | 5026331151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pulmonary Care Service Llc 720 Hospital Dr Ste 106 Shelbyville KY 40065-1685 Ph: (502) 633-1151 | Pulmonary Care Service Llc 720 Hospital Dr Ste 106 Shelbyville KY 40065-1685 Ph: (502) 633-1151 |
NPI Number | 1497150205 |
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Provider Enumeration Date | 10/23/2014 |
Last Update Date | 03/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497150205 | NPI | - | NPPES |
000000901376 | Other | KY | BCBS |
9870 | Other | KY | HUMANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35377 (Kentucky) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 35377 (Kentucky) | Primary |
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