Individual
DR. GAMAL F MONEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
Mailing address
2600 STANLEY GAULT PARKWAY, SUITE 201, LOUISVILLE, KY 40223
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31840
KY
2080P0203X
Pediatric Critical Care Medicine Physician
31840
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31840
KY MD LICENSE
KY
01
—
50014082
PASSPORT
KY
05
—
6431840500
—
KY
Enumeration date
10/12/2006
Last updated
03/07/2023
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