Individual
JAHANGIR CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 953-4700
(502) 772-8189
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19318
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64193188
—
KY
01
—
P00406320
RAILROAD MEDICARE
KY
Enumeration date
06/18/2006
Last updated
11/05/2020
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