Individual
ANDREW J HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4003 KRESGE WAY, STE 500, LOUISVILLE, KY 40207-4652
(502) 897-1166
(502) 897-1461
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
45271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300311
—
TN
01
—
4157045
BCBS
TN
01
—
7100021050
KENTUCKY MEDICAID
KY
01
—
7779958
AETNA
—
01
—
P00643008
RAILROAD MEDICARE
—
Enumeration date
01/04/2007
Last updated
12/13/2018
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