National Provider Identifier Database

PEARL GERIATRICS AND PALLIATIVE MEDICINE PSC
Geriatric Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.


Contact Information

PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC
2202 BUECHEL AVE STE 105
LOUISVILLE, KY40218-2672
Phone: 502-456-0494
Fax: 504-456-0496
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207RG0300X
Family 363LF0000X
Geriatric Medicine 207QG0300X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC

NPI Number 1376865972
Legal business name
LBN
PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC
Authorized official OSAWARU OMORUYI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/23/2010
Last updated 01/29/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 3006777
  • KY License #: 39870
  • KY Medicaid: 7100134680
  • KY Medicaid: 7100159350

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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