Organization
MIDWEST INTERNAL MEDICINE P.S.C
Active
Organization
MIDWEST INTERNAL MEDICINE P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NUZHAT A HASAN M.D. (C.E.O)
(502) 568-6722
Entity
Organization
Contact information
Practice address
250 E LIBERTY ST STE 200, LOUISVILLE, KY 40202-1534
(502) 568-6722
(502) 568-6733
Mailing address
250 E LIBERTY ST STE 200, LOUISVILLE, KY 40202-1534
(502) 568-6722
(502) 568-6733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64016033
—
KY
01
—
DA0912
RAILROAD MEDICARE GROUP
KY
Enumeration date
07/30/2006
Last updated
12/23/2024
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