Organization
HOSPITAL INTERNAL MEDICINE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD N NASRATY M.D. (OWNER)
(812) 948-5120
Entity
Organization
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(812) 948-5120
Mailing address
11303 PEPPERMINT ST, PROSPECT, KY 40059-6617
(812) 948-5120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106141
PASSPORT
KY
01
—
2436477000
PASSPORT ADVANTAGE
KY
05
—
65932881
—
KY
Enumeration date
07/21/2006
Last updated
01/03/2025
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