Organization · NPI-2
Aaa Healthcare Psc
Internal Medicine · Louisville, KY
NPI number1972937183
StatusActive
Last updated in NPPESAug 23, 2013
Details
- NPI
- 1972937183
- Entity type
- Organization (NPI-2)
- Legal business name
- Aaa Healthcare Psc
- Organization subpart
- No
- Enumeration date
- Aug 23, 2013
- Last updated
- Aug 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – |
Practice location
6301 Glen Hill RdLouisville, KY 40222-6026
Phone 270-298-4889 · Fax 270-298-9003
Mailing address
Po Box 221646Louisville, KY 40252-1646
Phone 270-298-4889 · Fax 270-298-9003
Authorized official
Khaled Jouja
Owner
5026191109
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