Individual
NISON I ABAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10300 DIXIE HWY, LOUISVILLE, KY 40272
(502) 995-7775
(502) 995-7765
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 995-7775
(502) 995-7765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35821
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64052285
—
KY
Enumeration date
09/12/2005
Last updated
04/09/2013
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