Individual
MR. MAROUN MAURICE GHOSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W MARKET ST STE 2, LOUISVILLE, KY 40202-1332
(502) 587-8000
(502) 583-8001
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.021073
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52259
KY
207RP1001X
Pulmonary Disease Physician
Primary
52259
KY
208000000X
Pediatrics Physician
57.021073
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031621
—
IN
05
—
7100628490
—
KY
Enumeration date
04/03/2012
Last updated
08/28/2024
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