Individual
DR. CHARLES SARASOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 DUTCHMANS LN, SUITE 415, LOUISVILLE, KY 40207-4707
(502) 893-5502
(502) 894-0836
Mailing address
6500 PRESTON HWY, LOUISVILLE, KY 40219-1820
(502) 893-5502
(502) 721-8655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050239
ANTHEM
KY
01
—
1049803
PASSPORT
KY
01
—
1049812
PASSPORT
KY
01
—
1050067
PASSPORT
KY
01
—
1072558
PASSPORT
KY
05
—
64170442
—
KY
Enumeration date
02/13/2007
Last updated
07/08/2007
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