Individual
JUGRAJ S DHANOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
(502) 398-0041
Mailing address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
(502) 398-0041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51927
KY
207R00000X
Internal Medicine Physician
ME157147
FL
Other
Enumeration date
05/15/2015
Last updated
08/16/2022
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