Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
INFECTIOUS DISEASES SPECIALISTS OF KENTUCKIANA LLC
Active
Organization
INFECTIOUS DISEASES SPECIALISTS OF KENTUCKIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMAR TAYARA MD (MEMBER)
(812) 949-3242
Entity
Organization
Contact information
Practice address
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3725
(812) 949-3242
Mailing address
17027 ASHBURTON DR, LOUISVILLE, KY 40245-5713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
06/20/2014
Last updated
03/29/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers