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UNIVERSITY PHYSICIANS GROUP - RADIOLOGY
530 SOUTH JACKSON STREET
RADIOLOGY CLINIC
LOUISVILLE, KY40202
 Phone: 502-562-6069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for UNIVERSITY PHYSICIANS GROUP RADIOLOGY · (Female)

NPI # 1619061116
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 65905887
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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