Individual
MAHA BOTROS MIKHAIL WASSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4003 KRESGE WAY, SUITE 221, LOUISVILLE, KY 40207-4652
(502) 897-7107
(502) 897-7613
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101240731
VA
207RC0000X
Cardiovascular Disease Physician
036126126
IL
207RC0000X
Cardiovascular Disease Physician
040740
CT
207RC0000X
Cardiovascular Disease Physician
25MA08180200
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
ME132417
FL
207RC0000X
Cardiovascular Disease Physician
TP865
KY
207UN0901X
Nuclear Cardiology Physician
0101240731
VA
207UN0901X
Nuclear Cardiology Physician
040740
CT
207UN0901X
Nuclear Cardiology Physician
25MA08181200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00140740300
—
CT
01
—
W0001
HFMG
FL
Enumeration date
09/22/2006
Last updated
03/09/2026
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