Organization
IVAN LJUBIC, M.D., P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN LJUBIC M.D. (M.D. -DOCTOR)
(502) 893-7336
Entity
Organization
Contact information
Practice address
4001 KRESGE WAY, SUITE 236, LOUISVILLE, KY 40207
(502) 893-7336
(502) 896-9453
Mailing address
4001 KRESGE WAY, SUITE 236, LOUISVILLE, KY 40207
(502) 893-7336
(502) 896-9453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35831
KY
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248561
ANTHEM BLUE CROSS
KY
01
—
1171348
PASSPORT
KY
05
—
65939449
—
KY
Enumeration date
02/28/2008
Last updated
05/16/2018
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