Organization
BLUEGRASS MEDICAL PRACTITIONERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHAR MITTAL MD (PRESIDENT)
(859) 757-4353
Entity
Organization
Contact information
Practice address
47 CAVALIER BLVD STE 100, FLORENCE, KY 41042-3970
(859) 757-4353
(859) 534-0865
Mailing address
47 CAVALIER BLVD STE 100, FLORENCE, KY 41042-3970
(859) 757-4353
(859) 534-0865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38913
KY
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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