Individual
DR. RONALD J FADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 211, LOUISVILLE, KY 40215-1190
(502) 363-7868
Mailing address
4402 CHURCHMAN AVE, SUITE 211, LOUISVILLE, KY 40215-1190
(502) 363-7868
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17194
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048927
ANTHEM BLUE CROSS
KY
Enumeration date
07/19/2006
Last updated
07/08/2007
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