Individual
DR. DANIEL SEAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40047
KY
207RC0000X
Cardiovascular Disease Physician
40047
KY
207RI0011X
Interventional Cardiology Physician
Primary
40047
KY
207UN0901X
Nuclear Cardiology Physician
40047
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201001490
—
IN
01
—
50029658
PASSPORT AND PASSPORT ADVANTAGE
KY
05
—
7100127620
—
KY
01
—
P00872507
MEDICARE RAILROAD
KY
Enumeration date
04/23/2007
Last updated
12/03/2014
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