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Individual

GURBACHAN S SOHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MALLARD CREEK RD, SUITE 150, LOUISVILLE, KY 40207-4194
(502) 589-7907
(502) 589-1319
Mailing address
100 MALLARD CREEK RD, SUITE 150, LOUISVILLE, KY 40207-4194
(502) 589-7907
(502) 589-1319

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01038328
IN
207RC0000X
Cardiovascular Disease Physician
Primary
17652
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100354370
IN
05
64176522
KY
Enumeration date
05/12/2006
Last updated
03/24/2015
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