Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 25741 | KY |
NPI | 1003810938 |
---|---|
Provider Name | Dr. Ramsey Nasri Nassar |
First Address | Louisville, KY 40205-3340 |
Second Address | Louisville, KY 40205-3340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 29/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000062780 | ANTHEM (01) | KY |
1050712 | PASSPORT (01) | KY |
64257413 | (05) | KY |
C64496 | (02) | KY |