Individual
RIFAAT S ELMALLAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S. JACKSON ST., LOUISVILLE, KY 40202
(502) 852-5866
(502) 852-5098
Mailing address
P.O. BOX 69, LOUISVILLE, KY 40201
(502) 852-5866
(502) 852-5096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64092992
—
KY
Enumeration date
02/02/2006
Last updated
01/30/2013
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