Individual
RESAD PASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
(502) 271-5994
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30233
KY
207VG0400X
Gynecology Physician
30233
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045410
ANTHEM
KY
01
—
000000047592
ANTHEM
KY
05
—
100332470
—
IN
01
—
1049303
PASPORT PCP
KY
01
—
1049307
PASSPORT SPECIALITY
KY
01
—
1049309
PASSPORT SPECIALITY
KY
05
—
64030232
—
KY
Enumeration date
07/19/2006
Last updated
02/27/2015
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