Individual
DR. MOHAMMAD AFZAL MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8521 LA GRANGE RD, LOUISVILLE, KY 40242-3800
(502) 817-0927
(502) 805-0690
Mailing address
8521 LA GRANGE RD, LOUISVILLE, KY 40242-3800
(502) 817-0927
(502) 805-0690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01037543A
IN
174400000X
Specialist
Primary
22242
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116470
—
IN
05
—
64222425
—
KY
Enumeration date
09/05/2006
Last updated
12/03/2024
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