National Provider Identifier Database

TIMOTHY B POPHAM, MD – NPI #1417931957
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

TIMOTHY B POPHAM, MD
1169 EASTERN PKWY
G58
LOUISVILLE, KY40217
Phone: 502-452-9567
Fax: 502-473-0586
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for TIMOTHY B POPHAM

NPI Number 1417931957
Credentials MD
Entity Individual
Enumeration date 11/29/2005
Last updated 05/08/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 21233
  • KY Medicaid: 64212335
  • KY Other: 1049205 PASSPORT
Hospital affiliation n/a

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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