Organization
COMMUNITY HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALI HAIDER DO (OWNER)
(502) 640-0124
Entity
Organization
Contact information
Practice address
2932 BRECKENRIDGE LN STE 5, LOUISVILLE, KY 40220-1490
(502) 371-9703
(502) 540-3070
Mailing address
2932 BRECKENRIDGE LN STE 5, LOUISVILLE, KY 40220-1490
(502) 371-9703
(502) 540-3070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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