Individual
EDIN JUSUFBEGOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 E CHESTNUT ST, KOSAIR CHILDREN'S HOSPITAL, LOUISVILLE, KY 40202-1821
(502) 451-9949
(502) 451-4553
Mailing address
PO BOX 740041, DEPT 5090, LOUISVILLE, KY 40201-7441
(502) 451-9949
(502) 451-4553
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38351
KY
207LP3000X
Pediatric Anesthesiology Physician
Primary
38351
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200842130
—
IN
05
—
64129372
—
KY
01
—
K407590
MEDICARE
KY
Enumeration date
11/17/2006
Last updated
08/31/2023
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