Organization
SHUGOLL & SADLO CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE M SHUGOLL MD (PHYSICIAN AND OWNER)
(502) 629-3838
Entity
Organization
Contact information
Practice address
234 EAST GRAY STREET, SUITE 554, LOUISVILLE, KY 40202-1914
(502) 629-3838
(502) 629-3833
Mailing address
4736 RELIABLE PKWY, CHICAGO, IL 60686-0001
(502) 629-3838
(502) 629-3833
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200879140A
—
IN
05
—
7100000930
—
KY
01
—
DG0273
RAILROAD MEDICARE
KY
Enumeration date
03/08/2007
Last updated
08/13/2008
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