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Individual

ASAD E ISMAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
645 S ROY WILKINS AVE STE 200, LOUISVILLE, KY 40203-2072
(502) 561-0520
(502) 653-8181
Mailing address
720 W BROADWAY STE 202, LOUISVILLE, KY 40202-3245
(502) 561-0943
(502) 561-0944

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
01050254A
IN
2084P0800X
Psychiatry Physician
01050254A
IN
2084P0800X
Psychiatry Physician
34174
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000056294
ANTHEM GROUP
01
000000328529
ANTHEM
01
100386460
MEDICAID GROUP
IN
01
1063415297
GROUP NPI
01
130025311
MEDICARE RAILROAD
KY
01
160780
MEDICARE GROUP
IN
01
160860
MEDICARE GROUP
IN
05
200244600A
IN
01
214446000
MAGELLAN MIS
01
2444451000
PASSPORT GROUP
KY
01
2699709000
PASSPORT ADVANTAGE
KY
01
50704000
MAGELLAN MIS
05
64342744
KY
05
65927857
KY
01
6764
MEDICARE GROUP
KY
05
78903689
KY
05
82900176
KY
01
CG3623
RAILROAD MEDICARE GROUP
IN
01
CK2274
RAILROAD MEDICARE GROUP
KY
01
P00127309
MEDICARE RAILROAD
IN
Enumeration date
07/07/2005
Last updated
03/25/2025
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