Individual
DR. AHMAD NAWEED NASRATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(812) 948-5120
Mailing address
5001 SPRING FARM RD, PROSPECT, KY 40059-9654
(502) 584-4479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066562
ANTHEM
KY
01
—
1106140
PASSPORT
KY
05
—
200270790
—
IN
01
—
2434853000
PASSPORT ADVANTAGE
KY
05
—
64289101
—
KY
Enumeration date
02/09/2006
Last updated
01/08/2019
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