Infectious Diseases Specialists Of Kentuckiana Llc

LBN: Infectious Diseases Specialists Of Kentuckiana Llc
Infectious Diseases Specialists Of Kentuckiana Llc is an health care organization with primary practice located at 1220 Missouri Ave , Jeffersonville IN 47130-3725. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty. Infectious Diseases Specialists Of Kentuckiana Llc can be contacted via phone (812) 949-3242, or through Tayara, Ammar via phone (812) 949-3242.

Contact Information

Primary practice address
1220 Missouri Ave Jeffersonville IN 47130-3725
Phone: (812) 949-3242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tayara, Ammar Doctor of Medicine (MD)
Phone: (812) 949-3242

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1740694421
LBN Legal business name Infectious Diseases Specialists Of Kentuckiana Llc
DBA Doing business as
Authorized official Tayara, Ammar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2014
Last updated Mar 29th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740694421 NPPES
Indiana MEDICAID 201244550
Indiana MEDICAID 7100359690
Indiana Other DV8435
Indiana MEDICAID 7100447670
Indiana Other 000000883842
Indiana Other DV0764

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