Individual
DR. DAVID JOHN DOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 CENTRAL AVE, SUITE 100, LOUISVILLE, KY 40208-1418
(502) 852-2822
(502) 852-2819
Mailing address
501 E BROADWAY, SUITE 290, LOUISVILLE, KY 40202-1785
(502) 217-8221
(502) 217-5056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23324
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489450
—
IN
05
—
64090152
—
KY
Enumeration date
07/13/2005
Last updated
01/12/2010
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