Individual
SHIVA RAVANBAKHSH ZARGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5991
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-5991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558657502
—
NC
05
—
201393840
—
IN
05
—
7100428990
—
KY
Enumeration date
06/28/2011
Last updated
12/05/2016
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