Organization
AAK INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBAS A KHAWARI MD (OWNER)
(502) 445-4222
Entity
Organization
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 742-7062
Mailing address
9203 BERGAMOT DR, PROSPECT, KY 40059-6585
(502) 742-7062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201347020
—
IN
01
—
50102201
PASSPORT HEALTH PLAN
KY
05
—
7100400190
—
KY
01
—
DW3039
RAILROAD MEDICARE
KY
Enumeration date
01/14/2016
Last updated
01/22/2020
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