Individual
FADI M B BOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
(502) 562-0326
Mailing address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
(502) 562-0326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FT597
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT597
STATE LICENSE
KY
Enumeration date
07/29/2019
Last updated
07/29/2019
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