Organization
LOUISVILLE CONCIERGE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS G KARAGEORGE MD (OWNER)
(502) 618-3535
Entity
Organization
Contact information
Practice address
10325 CHAMPION FARMS DRIVE, LOUISVILLE, KY 40241-6129
(502) 618-3535
(502) 618-3537
Mailing address
10325 CHAMPION FARMS DRIVE, LOUISVILLE, KY 40241-6129
(502) 618-3535
(502) 618-3537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32573
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000739235
ANTHEM
KY
01
—
DS6356
RAILROAD MEDICARE
KY
Enumeration date
09/16/2011
Last updated
02/01/2016
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