Individual
JEESHAN ALI FARIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4371 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-8040
(502) 348-5685
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2021-02615
NC
207X00000X
Orthopaedic Surgery Physician
Primary
58849
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100432810
—
KY
Enumeration date
04/02/2015
Last updated
07/30/2025
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