Dr Kusum T Nigam Internal Medicine PLLC
Non-Pharmacy Dispensing Site in Louisville, KY. Organization (NPI-2).
NPI number1750641536
StatusActive
Last updated in NPPESMay 25, 2012
Details
- NPI
- 1750641536
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Kusum T Nigam Internal Medicine PLLC
- Organization subpart
- Yes
- Enumeration date
- May 25, 2012
- Last updated
- May 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
4402 Churchman AveSte 410
Louisville, KY 40215-1190
Phone 502-367-6322
Mailing address
2980 N Beverly Glen CirSuite 301
Los Angeles, CA 90077-1726
Phone 310-474-9809
Authorized official
Kusum T Nigam
Owner
5023676322
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