Individual
MOHAMMAD FAHMI MATHBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
210 E GRAY ST STE 1002, LOUISVILLE, KY 40202-3906
(502) 584-2029
(502) 584-0873
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
01087867A
IN
207RI0011X
Interventional Cardiology Physician
Primary
51527
KY
208M00000X
Hospitalist Physician
51527
KY
390200000X
Student in an Organized Health Care Education/Training Program
51527
KY
Other
Enumeration date
06/27/2015
Last updated
09/06/2024
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