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Individual

DR. GREGORY B NAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 AUDUBON PLAZA DR, SUITE 410, LOUISVILLE, KY 40217-1300
(502) 636-2667
(502) 636-2668
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01038382
IN
174400000X
Specialist
26253
KY
207T00000X
Neurological Surgery Physician
Primary
26253
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000665482
ANTHEM - NNIKY
KY
01
000000746161
ANTHEM
KY
01
000052153W
HUMANA - NNIKY
KY
05
100461820
IN
01
116194
SIHO - NNIKY
KY
01
2557345
CIGNA - NNIKY
KY
01
50029550
PASSPORT ADVANTAGE - NNIKY
KY
01
50035437
PASSPORT
KY
05
64262538
KY
01
K074600
MEDICARE KY - NNIKY
KY
01
P00869554
MEDICARE RAILROAD- NIKKY
KY
Enumeration date
06/10/2005
Last updated
09/12/2016
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