Individual
ALBERT SEOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 S JACKSON ST, # C07, LOUISVILLE, KY 40202-1675
(502) 852-5875
(502) 852-1754
Mailing address
PO BOX 21249, LOUISVILLE, KY 40221-0249
(502) 581-1500
(502) 540-4959
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
34712
KY
2085R0202X
Diagnostic Radiology Physician
34712
KY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
34712
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075779
ANTHEM
KY
05
—
200221440
—
IN
01
—
300095620
RAILROAD MEDICARE
KY
05
—
64992001
—
KY
Enumeration date
06/13/2005
Last updated
06/28/2016
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