Individual
DR. JUDITH MOHAY AMBRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1511
(502) 852-5466
(502) 852-4947
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-5466
(502) 852-4947
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34273
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1116689
PASSPORT
KY
05
—
200281880
—
IN
05
—
64016918
—
KY
Enumeration date
07/05/2006
Last updated
04/22/2015
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