Organization
KENTUCKIANA ADULT MEDICINE SPECIALISTS
Active
Organization
KENTUCKIANA ADULT MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZHALET BAHARESTAN DO (PHYSICIAN)
(502) 459-4555
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 2358, MEDICAL ARTS BLDING, LOUISVILLE, KY 40217-1415
(502) 459-4555
Mailing address
1169 EASTERN PKWY STE 2358, MEDICAL ARTS BLDING, LOUISVILLE, KY 40217-1415
(502) 459-4555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02786
KY
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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