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Organization

PROSPERO ISHKANIAN MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PROSPERO ISHKANIAN MD (DOCTOR)
(502) 560-1326
Entity
Organization

Contact information

Practice address
1313 SAINT ANTHONY PL, LOUISVILLE, KY 40204-1740
(502) 560-1326
(502) 560-1327
Mailing address
7101 WESBORO RD, LOUISVILLE, KY 40222-6453
(502) 560-1326
(502) 560-1327

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/25/2007
Last updated
07/25/2008
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