Abayev, Nison I

Abayev, Nison I is an individual health care provider with primary practice located at 10300 Dixie Hwy , Louisville KY 40272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abayev, Nison I can be contacted via phone (502) 995-7775.

Contact Information

Primary practice address
10300 Dixie Hwy Louisville KY 40272
Phone: (502) 995-7775
Fax: (502) 995-7765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35821 Kentucky

Profile Details

NPI number 1124012653
LBN Legal business name Abayev, Nison I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 9th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124012653 NPPES
Kentucky MEDICAID 64052285

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