Organization
PEARL MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAWARU JUDE OMORUYI MD (OWNER)
(502) 456-0494
Entity
Organization
Contact information
Practice address
2202 BUECHEL AVE STE 105, LOUISVILLE, KY 40218-2672
(502) 456-0494
(502) 456-0496
Mailing address
PO BOX 35294, LOUISVILLE, KY 40232-5294
(502) 456-0494
(502) 456-0496
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
01/29/2021
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