Individual
NADIR HANNA AL-SHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9340 CEDAR CENTER WAY, LOUISVILLE, KY 40291-4522
(502) 239-8431
(502) 239-8399
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17864
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000712470
ANTHEM - NICC
KY
01
—
1050555
PASSPORT
KY
01
—
127537
SIHO - NICC
KY
05
—
64178643
—
KY
Enumeration date
10/20/2006
Last updated
04/26/2026
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