Individual
DR. MICHEL BIDROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 330-7900
(606) 330-7905
Mailing address
520 TECHWOOD DR N STE 100, DANVILLE, KY 40422-8500
(859) 936-9844
(859) 236-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046496
CT
207RH0003X
Hematology & Oncology Physician
0101256852
VA
207RH0003X
Hematology & Oncology Physician
Primary
51394
KY
208M00000X
Hospitalist Physician
046496
CT
390200000X
Student in an Organized Health Care Education/Training Program
046496
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101256852
VA STATE MEDICAL LICENSE
VA
01
—
046496
CT STATE LICENSE
CT
01
—
51394
KY STATE MEDICAL LICENSE
KY
05
—
7100557670
—
KY
05
—
Q082272
—
TN
Enumeration date
06/17/2008
Last updated
05/12/2023
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