Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | FL058 | KY |
NPI | 1043518749 |
---|---|
Provider Name | Hazaim Alwair |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2011 |
Last Update Date | 27/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
162AR | BCBSNC (01) | NC |
5917186 | (05) | NC |
7100627890 | (05) | KY |