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SIBY SEBASTIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17002 ASH HILL DR, LOUISVILLE, KY 40245-6101
(270) 348-1080
Mailing address
17002 ASH HILL DR, LOUISVILLE, KY 40245-6101
(270) 348-1080

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38777
KY
207Q00000X
Family Medicine Physician
Primary
38777
KY
208M00000X
Hospitalist Physician
38777
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6407716700
KY
Enumeration date
03/12/2006
Last updated
09/11/2019
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