Individual
ABDUL BURIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 595-7744
(502) 595-7007
Mailing address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 238-9911
(502) 238-9912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33344
KY
207RN0300X
Nephrology Physician
01045734A
IN
207RN0300X
Nephrology Physician
Primary
33344
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127760
—
IN
05
—
64028079
—
KY
01
—
P00013440
RAILROAD MEDICARE
—
Enumeration date
03/31/2006
Last updated
09/08/2014
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