Individual provider · NPI-1

Nison I Abayev, MD

Family Medicine · Louisville, KY

NPI number1124012653
StatusActive
Last updated in NPPESApr 9, 2013

Details

NPI
1124012653
Entity type
Individual (NPI-1)
Name
Nison I Abayev
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2005
Last updated
Apr 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35821KYYes

Practice location

10300 Dixie Hwy
Louisville, KY 40272

Phone 502-995-7775 · Fax 502-995-7765

Mailing address

6801 Dixie Hwy
Suite 130
Louisville, KY 40258-3913

Phone 502-995-7775 · Fax 502-995-7765

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