Individual
BOUTROS NASRI EL-HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
(502) 587-9660
Mailing address
6400 DUTCHMANS PKWY STE 250, LOUISVILLE, KY 40205-3354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-32980
KS
207R00000X
Internal Medicine Physician
6470
KS
207RN0300X
Nephrology Physician
Primary
TP640
KY
208M00000X
Hospitalist Physician
04-32980
KS
Other
Enumeration date
04/17/2007
Last updated
12/09/2020
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