Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036.117041 | IL |
N | 208600000X | Surgeon | 036.117041 | IL |
Y | 2086S0105X | Surgery of the Hand | 42807 | KY |
NPI | 1033372313 |
---|---|
Provider Name | Miss Ainhoa Costas Chavarri |
First Address | Louisville, KY 40202-1882 |
Second Address | Louisville, KY 40202-1882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 29/04/2010 |