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Individual

DR. JOSE OBANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5875
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MSP 18
CT
2085R0202X
Diagnostic Radiology Physician
Primary
FL061
KY
2085R0202X
Diagnostic Radiology Physician
MSP 18
CT

Other

Enumeration date
10/05/2006
Last updated
04/21/2021
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