Individual
DR. HANAN NAFITZ BUDEIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 EASTERN BYP, RICHMOND, KY 40475-2751
(859) 625-3603
(859) 625-3757
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33601
KY
207R00000X
Internal Medicine Physician
Primary
33601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5771
MEDICARE GROUP NUMBER
KY
05
—
64363013
—
KY
05
—
6593524900
—
KY
Enumeration date
05/23/2006
Last updated
01/14/2020
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