Dr. Mary E Fallat
Pediatric Surgery
234 E Gray St Ste 766
Louisville
, Kentucky 40202-1901
Dr. Mary E Fallat
Pediatric Surgery
234 E Gray St Ste 766
Louisville
, Kentucky 40202-1901
(502) 584-5437
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Mary E Fallat
- Po Box 909
- Louisville, KY
- Zip : 40201-0909
- Fax : (502) 584-5437
- Phone : (502) 588-0390
Second Address
- Dr. Mary E Fallat
- 234 E Gray St Ste 766
- Louisville, KY
- Zip : 40202-1901
- Fax : (502) 584-5437
- Phone : (502) 588-0390
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 21050 | KY |
National Provider Identifier
| NPI | 1124025127 |
|---|---|
| Provider Name | Dr. Mary E Fallat |
| First Address | Louisville, KY 40201-0909 |
| Second Address | Louisville, KY 40202-1901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2005 |
| Last Update Date | 14/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100330770 | (05) | IN |
| 64210503 | (05) | KY |
| C67958 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.