Individual
KHALID Z GHOSHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4003 KRESGE WAY, SUITE 500, LOUISVILLE, KY 40207-5603
(502) 897-1166
(502) 897-1461
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
40813
KY
207RH0003X
Hematology & Oncology Physician
KG070022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652544
ANTHEM
KY
01
—
0998652
HEALTH PLUS
MI
01
—
0G31085
BLUE CARE NETWORK
MI
01
—
1011761
MCLAREN HEALTH PLAN
MI
01
—
145830
GREAT LAKES HEALTH PLAN
MI
01
—
3770662000
PASSPORT ADVANTAGE
KY
01
—
383553403051
COMMUNITY CHOICE
MI
05
—
4613430
—
MI
01
—
50027665
PASSPORT
KY
05
—
7100018150
—
KY
01
—
7293569
AETNA
MI
Enumeration date
07/04/2006
Last updated
12/03/2020
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