Al Nabhan, Moutaz

Al Nabhan, Moutaz is an sole proprietor health care provider with primary practice located at 1015 Dupont Rd , Louisville KY 40207-4610. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Al Nabhan, Moutaz can be contacted via phone (502) 883-0227.

Contact Information

Primary practice address
1015 Dupont Rd Louisville KY 40207-4610
Phone: (502) 883-0227
Fax: (502) 410-0484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42043 Kentucky
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 42043 Kentucky
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 42043 Kentucky

Profile Details

NPI number 1205853900
LBN Legal business name Al Nabhan, Moutaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 2022 - about 3 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 1205853900 NPPES
Kentucky MEDICAID 7100142140

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