Individual
DR. MUSTAFA BARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, SUITE 601, LOUISVILLE, KY 40202-3902
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-3600
(502) 588-9536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41948
KY
208000000X
Pediatrics Physician
7980
SD
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
41948
KY
2080P0207X
Pediatric Hematology & Oncology Physician
7980
SD
Other
Enumeration date
03/01/2007
Last updated
10/12/2020
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