Organization
MIDWEST INFECTIOUS DISEASE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED JOUJA M.D. (OWNER)
(502) 380-5658
Entity
Organization
Contact information
Practice address
6301 GLEN HILL RD, LOUISVILLE, KY 40222-6026
(502) 380-5658
Mailing address
PO BOX 221646, LOUISVILLE, KY 40252-1646
(502) 380-5658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
11/19/2009
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