Individual
DR. MOUHAMAD ADDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5107 CRAIGS CREEK DR, LOUISVILLE, KY 40241-4863
(513) 560-5113
Mailing address
PO BOX 22787, LOUISVILLE, KY 40252-0787
(513) 560-5113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061288A
IN
208M00000X
Hospitalist Physician
39915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7663783
AETNA
KY
Enumeration date
08/18/2006
Last updated
11/06/2009
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