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Contact Information

SARAH G MIZUGUCHI, MD
4004 DUPONT CIR STE 230
LOUISVILLE, KY40207
 Phone: 502-893-1333
 Fax: 502-899-9576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SARAH G MIZUGUCHI · (Female)

NPI Number 1902937584
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2007
Last updated 12/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # R0495
  • KY Medicaid 200914440
Hospital affiliation(s)
  • BAPTIST HOSPITAL NORTHEAST - (Acute Care)
    1025 NEW MOODY LANE
    LA GRANGE, KY 40031
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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