Individual
KUSUM T NIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3137
Mailing address
4402 CHURCHMAN AVE, LOUISVILLE, KY 40215-1190
(502) 367-6322
(502) 380-3843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32516
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64030026
—
KY
Enumeration date
06/06/2006
Last updated
03/28/2018
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