Banda Mendoza, Jose Javier

Banda Mendoza, Jose Javier is an individual health care provider with primary practice located at 225 Abraham Flexner Way Ste 850 , Louisville KY 40202-1858. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Banda Mendoza, Jose Javier can be contacted via phone (502) 562-0312.

Contact Information

Primary practice address
225 Abraham Flexner Way Ste 850 Louisville KY 40202-1858
Phone: (502) 562-0312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X FT582 Kentucky
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X FT582 Kentucky

Profile Details

NPI number 1003302316
LBN Legal business name Banda Mendoza, Jose Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 6 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 1003302316 NPPES
Kentucky Other FT582 MEDICAL LICENSE

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