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Organization

SAM F. YARED, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ISSAM F YARED MD (OWNER)
(502) 426-7761
Entity
Organization

Contact information

Practice address
2355 POPLAR LEVEL RD, SUITE 305, LOUISVILLE, KY 40217-1395
(502) 634-0072
(502) 636-7130
Mailing address
1408 HADLEIGH PL, LOUISVILLE, KY 40222-5651
(502) 814-3184
(502) 426-8272

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
22334
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64223340
KY
01
D92437
UPIN
KY
Enumeration date
07/11/2007
Last updated
11/19/2007
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