Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 55794 | KY |
N | 208800000X | Urologist | MD-47055 | IA |
NPI | 1043601875 |
---|---|
Provider Name | Mr. Mohammed Adnan Said |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-5713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2015 |
Last Update Date | 29/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300054950 | (05) | IN |
7100764800 | (05) | KY |