Individual
DR. CARMEN TANIA CONDURACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-4617
Mailing address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
(502) 559-9295
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200900580
—
IN
05
—
7100035480
—
KY
Enumeration date
03/05/2007
Last updated
05/19/2022
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