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Contact Information

ALFONSO CERVERA, MD
315 E BROADWAY
LOUISVILLE, KY40202-3700
 Phone: 502-629-2500
 Fax: 502-629-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALFONSO CERVERA · (Male)

NPI Number 1730152117
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 01/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 35051
  • IN Medicaid 200441020
  • KY Medicaid 64063035
  • Other 0000000259565 ANTHEM
  • Other 50001586 PASSPORT
  • Other P00023370 RAILROAD MEDICARE
Hospital affiliation(s)
  • BAPTIST HOSPITAL NORTHEAST - (Acute Care)
    1025 NEW MOODY LANE
    LA GRANGE, KY 40031
  • FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES - (Acute Care)
    1850 STATE ST
    NEW ALBANY, IN 47150
  • ST VINCENT SALEM HOSPITAL INC - (Critical Access)
    911 N SHELBY ST
    SALEM, IN 47167
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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