Individual
DR. ABDUL R TAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-8984
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-8984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048778
—
KY
05
—
64212236
—
KY
Enumeration date
08/19/2006
Last updated
04/09/2010
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