Pearl Medical Practice Pllc

LBN: Pearl Medical Practice Pllc
Pearl Medical Practice Pllc is an health care organization with primary practice located at 2202 Buechel Ave Ste 105 , Louisville KY 40218-2672. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pearl Medical Practice Pllc can be contacted via phone (502) 456-0494, or through Omoruyi, Osawaru Jude via phone (502) 456-0494.

Contact Information

Primary practice address
2202 Buechel Ave Ste 105 Louisville KY 40218-2672
Phone: (502) 456-0494
Fax: (502) 456-0496
Website:
Map and Directions
Authorized official contact:
Name: Omoruyi, Osawaru Jude Doctor of Medicine (MD)
Phone: (502) 456-0494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1669841631
LBN Legal business name Pearl Medical Practice Pllc
DBA Doing business as
Authorized official Omoruyi, Osawaru Jude Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2015
Last updated Jan 29th, 2021 - about 3 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.

Request for update

Popular Providers