Individual
BIANCA UMMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 KRESGE WAY STE 60, LOUISVILLE, KY 40207
(502) 893-7710
(502) 893-1391
Mailing address
5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
51605
KY
207RI0011X
Interventional Cardiology Physician
Primary
51605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01080607A
MEDICAL LICENSE
IN
01
—
51605
MEDICAL LICENSE
KY
Enumeration date
04/08/2011
Last updated
12/17/2020
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