Organization
DR KUSUM T NIGAM INTERNAL MEDICINE PLLC
Active
Parent organization
DR KUSUM T NIGAM INTERNAL MEDICINE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR KUSUM T NIGAM INTERNAL MEDICINE PLLC
Authorized official
DR. KUSUM T NIGAM MD (OWNER)
(502) 367-6322
Entity
Organization
Contact information
Practice address
4402 CHURCHMAN AVE, STE 410, LOUISVILLE, KY 40215-1190
(502) 367-6322
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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