Organization
LOUISVILLE GERIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD I MASROOR (OWNER)
(812) 288-8360
Entity
Organization
Contact information
Practice address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Mailing address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65945818
—
KY
05
—
78905429
—
KY
Enumeration date
07/30/2006
Last updated
08/20/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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