Individual
MOUTAZ AL NABHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 DUPONT RD, LOUISVILLE, KY 40207-4610
(502) 883-0227
(502) 410-0484
Mailing address
1015 DUPONT RD, LOUISVILLE, KY 40207-4610
(918) 691-2223
(502) 410-0484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42043
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42043
KY
207RP1001X
Pulmonary Disease Physician
Primary
42043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142140
—
KY
Enumeration date
07/17/2006
Last updated
07/21/2022
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