Organization
WALL STREET MEDICAL GROUP INPATIENT SERVICES LLC
Active
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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