Organization
CHESTNUT HEALTH OF KENTUCKY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAIR SIRAJ (OWNER)
(703) 964-8199
Entity
Organization
Contact information
Practice address
900 GAGEL AVE, LOUISVILLE, KY 40216-4012
(502) 368-5827
(703) 649-6188
Mailing address
PO BOX 915, BEDFORD PARK, IL 60499-0915
(703) 964-8199
(703) 649-6188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
06/18/2024
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