Organization
ASSOCIATES IN INFECTIOUS DISEASES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ MEHMOOD M.D. (OWNER/PHYSICIAN)
(502) 238-9911
Entity
Organization
Contact information
Practice address
9720 PARK PLAZA AVE, SUITE 104, LOUISVILLE, KY 40241-2288
(502) 425-9138
(502) 425-9161
Mailing address
9720 PARK PLAZA AVE, SUITE 104, LOUISVILLE, KY 40241-2288
(502) 425-9138
(502) 425-9161
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01055144A
IN
207RI0200X
Infectious Disease Physician
Primary
35413
KY
363L00000X
Nurse Practitioner
3005396
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200471340A
—
IN
05
—
65938268
—
KY
01
—
DB9971
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
04/23/2014
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