Individual
DR. ALEXANDER YURIEVICH AFANASYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6400 DUTCHMANS PKWY, STE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 450-5615
Mailing address
6400 DUTCHMANS PKWY, STE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 450-5615
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197844
ANTHEM
KY
01
—
1140006
PASSPORT
KY
05
—
64030448
—
KY
Enumeration date
06/02/2005
Last updated
08/29/2007
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