# SAM F. YARED, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447459417
- **Authorized official:** DR. ISSAM F YARED MD (OWNER)
- **Authorized official phone:** (502) 426-7761

## Contact information

- **Practice address:** 2355 POPLAR LEVEL RD, SUITE 305, LOUISVILLE, KY 40217-1395
- **Practice address phone:** (502) 634-0072
- **Practice address fax:** (502) 636-7130
- **Mailing address:** 1408 HADLEIGH PL, LOUISVILLE, KY 40222-5651
- **Mailing address phone:** (502) 814-3184
- **Mailing address fax:** (502) 426-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 22334 | KY | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 11/19/2007
