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MEDICINE PLLC NPI 1003003351


NPI Profile

NPI: 1003003351
Provider Name: MEDICINE PLLC
Classification:Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
15103 CHESTNUT RIDGE CIR
LOUISVILLE, KY
ZIP 40245
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Phone: (502) 742-9149

MEDICINE PLLC is an infectious disease internal medicine in Louisville, KY. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. MEDICINE PLLC NPI is 1003003351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15103 CHESTNUT RIDGE CIR
LOUISVILLE, KY
ZIP 40245-291
Phone: (502) 742-9149
Fax: (502) 896-7292

The provider's authorized official is Jawed Nasim .
The authorized official title is President and has the following contact phone number (502) 742-9149.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 1/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DN66884MEDICARE PINKENTUCKY
200495MEDICARE PINKENTUCKY
3255800MEDICARE PININDIANA
4200906410AMEDICAIDINDIANA
56435287500MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/7/2021

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