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Contact Information

NISON I ABAYEV, MD
10300 DIXIE HWY
LOUISVILLE, KY40272
 Phone: 502-995-7775
 Fax: 502-995-7765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NISON I ABAYEV · (Male)

NPI # 1124012653
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2005
Last updated 04/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 35821
  • KY Medicaid 64052285
Hospital affiliation(s)
  • JEWISH HOSPITAL & ST MARY'S HEALTHCARE - (Acute Care)
    200 ABRAHAM FLEXNER WAY
    LOUISVILLE, KY 40202
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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