Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 53673 | KY |
NPI | 1023435039 |
---|---|
Provider Name | Hisham Elsherbiny Mohamed Elsherbiny |
First Address | Louisville, KY 40205-3354 |
Second Address | Louisville, KY 40205-3354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 06/01/2021 |