Individual
DR. NADER POUR-GHASEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12563 SHELBYVILLE RD, LOUISVILLE, KY 40243-1530
(502) 253-9675
Mailing address
12563 SHELBYVILLE RD, LOUISVILLE, KY 40243-1530
(502) 253-9675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7433
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7433
KENTUCKY LICENSE NUMBER
KY
Enumeration date
03/17/2007
Last updated
03/07/2023
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