Organization
DR. KUSUM T NIGAM INTERNAL MEDICINE PLLC
Active
Organization
DR. KUSUM T NIGAM INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSUM T NIGAM MD (OWNER)
(502) 367-6322
Entity
Organization
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 410, LOUISVILLE, KY 40215-1190
(502) 367-6322
(502) 360-3843
Mailing address
4402 CHURCHMAN AVE, SUITE 410, LOUISVILLE, KY 40215-1190
(502) 367-6322
(502) 360-3843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/01/2006
Last updated
03/14/2018
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