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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