Organization
WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD MASROOR MD (DIRECTOR/OWNER)
(502) 500-8809
Entity
Organization
Contact information
Practice address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(502) 525-4376
(440) 332-3844
Mailing address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(502) 525-4376
(440) 332-3844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/25/2020
Last updated
06/11/2024
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