Individual
SHARON MAVROS MAXFIELD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4231
Mailing address
222 S 1ST ST, SUITE 501, LOUISVILLE, KY 40202-5404
(502) 583-2731
(502) 583-2733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193035
ANTHEM BLUE FACET
KY
01
—
0865880568002
ANTHEM BCBS
IN
05
—
1140088
—
KY
05
—
2564907
—
OH
05
—
3810004747
—
WV
05
—
64304074
—
KY
Enumeration date
05/16/2006
Last updated
07/09/2007
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