Bullock, Smitha

Bullock, Smitha is an individual health care provider with primary practice located at 601 S Floyd St Suite 602, Louisville KY 40202-1845. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Bullock, Smitha can be contacted via phone (502) 585-4802.

Contact Information

Primary practice address
601 S Floyd St Suite 602 Louisville KY 40202-1845
Fax: (502) 589-1256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 45511 Kentucky

Profile Details

NPI number 1336308444
LBN Legal business name Bullock, Smitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Oct 13th, 2020 - about 4 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 1336308444 NPPES
Kentucky MEDICAID 7100224090

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