Organization
MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAWED NASIM M.D. (PRESIDENT)
(502) 742-9149
Entity
Organization
Contact information
Practice address
15103 CHESTNUT RIDGE CIR, LOUISVILLE, KY 40245-5291
(502) 742-9149
(502) 896-7292
Mailing address
PO BOX 890853, CHARLOTTE, NC 28289-0853
(800) 605-5176
(937) 298-5596
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200906410A
—
IN
05
—
6435287500
—
KY
Enumeration date
10/01/2007
Last updated
11/12/2024
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