Individual
ISSAM F YARED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2355 POPLAR LEVEL RD, SUITE 305, LOUISVILLE, KY 40217-1395
(502) 634-0072
(502) 636-7130
Mailing address
2301 RIVER RD STE 302, LOUISVILLE, KY 40206-3040
(502) 814-3184
(502) 814-3196
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
22334
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64223340
—
KY
01
—
P00321310
RAILROAD MEDCARE KY
KY
Enumeration date
01/11/2007
Last updated
04/25/2008
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