Individual
DR. JOSE JAVIER BANDA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
Mailing address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
FT582
KY
390200000X
Student in an Organized Health Care Education/Training Program
FT582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT582
MEDICAL LICENSE
KY
Enumeration date
07/10/2018
Last updated
07/10/2018
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