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Contact Information

ROSS F MICCICHE, MD
501 E BROADWAY STE 270
LOUISVILLE, KY40202-2040
 Phone: 502-588-4740
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ROSS F MICCICHE · (Male)

NPI Number 1235663147
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2017
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01092561A
  • KY License # 58926
  • IN Medicaid 300088159
  • KY Medicaid 7100715760
Hospital affiliation(s) Not Available
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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