Yared, Issam F

Yared, Issam F is an individual health care provider with primary practice located at 2355 Poplar Level Rd Suite 305, Louisville KY 40217-1395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Yared, Issam F can be contacted via phone (502) 634-0072.

Contact Information

Primary practice address
2355 Poplar Level Rd Suite 305 Louisville KY 40217-1395
Phone: (502) 634-0072
Fax: (502) 636-7130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 22334 Kentucky

Profile Details

NPI number 1962552240
LBN Legal business name Yared, Issam F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Apr 25th, 2008 - about 17 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 1962552240 NPPES
Kentucky MEDICAID 64223340
Kentucky Other P00321310

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