Individual
DR. NICHOLAS THALES PAVLATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4500
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TP270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100938300
—
KY
Enumeration date
03/28/2022
Last updated
06/16/2025
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