Individual provider · NPI-1

Dr. Anas Jawad M.B A.R Altamimi, MD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number1184036956

StatusActive

Last updated in NPPESMay 28, 2014

Details

NPI: 1184036956
Entity type: Individual (NPI-1)
Name: Dr. Anas Jawad M.B A.R Altamimi
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: May 28, 2014
Last updated: May 28, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	ft508	KY	Yes

Practice location

225 Abraham Flexner Way Suite 850
Louisville, KY 40202-1894

Phone 502-562-0310 · Fax 502-562-0326

Mailing address

225 Abraham Flexner Way Suite 850
Christine M. Kleinert Institute For Hand And Microsurge
Louisville, KY 40202-1894

Phone 502-562-0310 · Fax 502-562-0326

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.