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Contact Information

MARK O MUGAVIN, MD
4000 KRESGE WAY
LOUISVILLE, KY40207-4605
 Phone: 502-897-8100
 Fax: 502-896-0813
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK O MUGAVIN · (Male)

NPI Number 1841618170
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2014
Last updated 11/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 51536
  • KY Medicaid PENDING
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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