Organization
CENTER FOR ADVANCED CARDIAC THERAPIES PSC
Active
Organization
CENTER FOR ADVANCED CARDIAC THERAPIES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM FAHSAH MD (PARTNER)
(502) 386-6749
Entity
Organization
Contact information
Practice address
200 ABRAHAM FLEXNER WAY STE 903, LOUISVILLE, KY 40202-2877
(502) 916-1055
(888) 796-7544
Mailing address
5005 SPRING FARM RD, PROSPECT, KY 40059-9654
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/01/2022
Last updated
09/01/2022
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